Provider Demographics
NPI:1992175913
Name:JONES, CARON (MMFT, LMFT-I)
Entity type:Individual
Prefix:
First Name:CARON
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:MMFT, LMFT-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 PERIWINKLE PL
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:SC
Mailing Address - Zip Code:29369-9376
Mailing Address - Country:US
Mailing Address - Phone:864-426-8140
Mailing Address - Fax:
Practice Address - Street 1:84 GROCE RD
Practice Address - Street 2:MTCC
Practice Address - City:LYMAN
Practice Address - State:SC
Practice Address - Zip Code:29365-1761
Practice Address - Country:US
Practice Address - Phone:864-426-8551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-02
Last Update Date:2015-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6178101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health