Provider Demographics
NPI:1427269695
Name:JONES, RAYMOND ALFRED (LMFT)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:ALFRED
Last Name:JONES
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:541 S GLENDORA AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91741-6209
Mailing Address - Country:US
Mailing Address - Phone:626-914-1456
Mailing Address - Fax:805-617-4785
Practice Address - Street 1:541 S GLENDORA AVE
Practice Address - Street 2:SUITE F
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91741-6209
Practice Address - Country:US
Practice Address - Phone:626-914-1456
Practice Address - Fax:626-963-3836
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-26
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT18388106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist