Provider Demographics
NPI:1487335980
Name:JONES, MARISA CATALANO (MED, LPC)
Entity type:Individual
Prefix:
First Name:MARISA
Middle Name:CATALANO
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 1:2737 GREENHILL LN
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24503-2923
Mailing Address - Country:US
Mailing Address - Phone:434-466-8621
Mailing Address - Fax:
Practice Address - Street 1:110 VISTA CENTRE DR STE 18
Practice Address - Street 2:
Practice Address - City:FOREST
Practice Address - State:VA
Practice Address - Zip Code:24551-2775
Practice Address - Country:US
Practice Address - Phone:434-385-5278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701012709101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional