Provider Demographics
NPI:1699985309
Name:JONES, CAMILLE K (MFT AND RN)
Entity type:Individual
Prefix:MS
First Name:CAMILLE
Middle Name:K
Last Name:JONES
Suffix:
Gender:F
Credentials:MFT AND RN
Other - Prefix:
Other - First Name:CAMILLE
Other - Middle Name:
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2702 CARDIFF AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034
Mailing Address - Country:US
Mailing Address - Phone:310-204-3008
Mailing Address - Fax:
Practice Address - Street 1:2702 CARDIFF AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034
Practice Address - Country:US
Practice Address - Phone:310-204-3008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist