Provider Demographics
NPI:1427723956
Name:JONES-CARR, KIMBERLY LYNN (LLMFT)
Entity type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:LYNN
Last Name:JONES-CARR
Suffix:
Gender:F
Credentials:LLMFT
Other - Prefix:MS
Other - First Name:KIMBERLY
Other - Middle Name:LYNN
Other - Last Name:JONES-CARR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:KIMBERLY LYNN JONES
Mailing Address - Street 1:3126 WILLIAMSBURG RD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-2074
Mailing Address - Country:US
Mailing Address - Phone:734-223-2571
Mailing Address - Fax:
Practice Address - Street 1:TROY MEICAL PLAZA, 1777 AXTEL DR. #100
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084
Practice Address - Country:US
Practice Address - Phone:248-787-3831
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-16
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4151001021106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist