Provider Demographics
NPI:1174916951
Name:JONES, TERESA S (LPCC)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:S
Last Name:JONES
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 S EDWIN C MOSES BLVD
Mailing Address - Street 2:SAMARITAN BEHAVIORAL HEALTH, 4TH FLOOR, NW BUILDING
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45417-3424
Mailing Address - Country:US
Mailing Address - Phone:937-734-8333
Mailing Address - Fax:937-734-8269
Practice Address - Street 1:6 S PATTERSON BLVD
Practice Address - Street 2:SBHI - CAM PROGRAM
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45402-2111
Practice Address - Country:US
Practice Address - Phone:937-222-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-18
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0800102101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional