Provider Demographics
NPI:1902096233
Name:JONES, PAMELA GAIL (LMHC)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:GAIL
Last Name:JONES
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3686 US HWY 331 S
Mailing Address - Street 2:CHAUTAUQUA OFFICES PSYCHOTHERAPY AND EVALUATION
Mailing Address - City:DEFUNIAK SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32435
Mailing Address - Country:US
Mailing Address - Phone:850-892-8035
Mailing Address - Fax:850-892-8074
Practice Address - Street 1:3686 US HWY 331 S
Practice Address - Street 2:CHAUTAUQUA OFFICES PSYCHOTHERAPY AND EVALUATION
Practice Address - City:DEFUNIAK SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32435
Practice Address - Country:US
Practice Address - Phone:850-892-8035
Practice Address - Fax:850-892-8074
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 9150101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health