Provider Demographics
NPI:1427754951
Name:JONES, LARONICA MONIQUE (MS)
Entity type:Individual
Prefix:
First Name:LARONICA
Middle Name:MONIQUE
Last Name:JONES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7287 PULLEN RD
Mailing Address - Street 2:
Mailing Address - City:DAMASCUS
Mailing Address - State:GA
Mailing Address - Zip Code:39841-4803
Mailing Address - Country:US
Mailing Address - Phone:470-306-3243
Mailing Address - Fax:
Practice Address - Street 1:7287 PULLEN RD
Practice Address - Street 2:
Practice Address - City:DAMASCUS
Practice Address - State:GA
Practice Address - Zip Code:39841-4803
Practice Address - Country:US
Practice Address - Phone:470-306-3243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist