Provider Demographics
NPI:1366056707
Name:JONES, JO ELLEN (MED,LPC)
Entity type:Individual
Prefix:
First Name:JO
Middle Name:ELLEN
Last Name:JONES
Suffix:
Gender:F
Credentials:MED,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7113 RIPLEY ST
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-8504
Mailing Address - Country:US
Mailing Address - Phone:214-212-4486
Mailing Address - Fax:
Practice Address - Street 1:7113 RIPLEY ST
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-8504
Practice Address - Country:US
Practice Address - Phone:214-212-4486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-02
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60960101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional