Provider Demographics
NPI:1366542144
Name:JONES, ANDREA WOODEN (MFT)
Entity type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:WOODEN
Last Name:JONES
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1977 HOPKINS ST
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94707-2633
Mailing Address - Country:US
Mailing Address - Phone:510-295-9137
Mailing Address - Fax:510-528-6049
Practice Address - Street 1:2940 CAMINO DIABLO
Practice Address - Street 2:SUITE 300
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94597-3987
Practice Address - Country:US
Practice Address - Phone:510-295-9137
Practice Address - Fax:510-528-6049
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 39826106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist