Provider Demographics
NPI:1588915466
Name:JONES, JESSICA CARLY (LMFT)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:CARLY
Last Name:JONES
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:CARLY
Other - Last Name:SINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:2206 ROMANUM DR
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-9170
Mailing Address - Country:US
Mailing Address - Phone:954-857-9899
Mailing Address - Fax:
Practice Address - Street 1:2206 ROMANUM DR
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-9170
Practice Address - Country:US
Practice Address - Phone:954-857-9899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2713106H00000X
NY001235106H00000X
DEFT-0010126106H00000X
WA6032988106H00000X
RIMFT00270106H00000X
NH318106H00000X
MEMF7082106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist