Provider Demographics
NPI:1992962930
Name:JONES, LINDA S (MSED LMHC LPC CEAP)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:S
Last Name:JONES
Suffix:
Gender:F
Credentials:MSED LMHC LPC CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4455 EAST 50TH STREET
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52807
Mailing Address - Country:US
Mailing Address - Phone:563-386-4004
Mailing Address - Fax:563-386-4026
Practice Address - Street 1:2535 MAPLECREST RD
Practice Address - Street 2:SUITE 26
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-7709
Practice Address - Country:US
Practice Address - Phone:563-421-3660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00844104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker