Provider Demographics
NPI:1174983829
Name:JONES, EVA (LCMHC 12376)
Entity type:Individual
Prefix:
First Name:EVA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:LCMHC 12376
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2295 N HORACE WALTERS RD
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-7587
Mailing Address - Country:US
Mailing Address - Phone:910-824-2663
Mailing Address - Fax:
Practice Address - Street 1:2295 N HORACE WALTERS RD
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-7587
Practice Address - Country:US
Practice Address - Phone:910-824-2663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-23
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12376101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health