Provider Demographics
NPI:1922843986
Name:JONES, CATHY MCDUFFIE
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:MCDUFFIE
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 117
Mailing Address - Street 2:
Mailing Address - City:TUSKEGEE INSTITUTE
Mailing Address - State:AL
Mailing Address - Zip Code:36087-0117
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1301 HOUSE OF PRAYER PL
Practice Address - Street 2:
Practice Address - City:TUSKEGEE INSTITUTE
Practice Address - State:AL
Practice Address - Zip Code:36088-2447
Practice Address - Country:US
Practice Address - Phone:334-332-0504
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL101YS0200X
WV171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool