Provider Demographics
NPI:1053601872
Name:JONES, LA CENA LACHELLE (LMFT 99436)
Entity type:Individual
Prefix:DR
First Name:LA CENA
Middle Name:LACHELLE
Last Name:JONES
Suffix:
Gender:F
Credentials:LMFT 99436
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 W HOSPITALITY LN STE 110
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92408-3210
Mailing Address - Country:US
Mailing Address - Phone:951-708-1049
Mailing Address - Fax:951-823-5507
Practice Address - Street 1:325 W HOSPITALITY LN STE 110
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408-3210
Practice Address - Country:US
Practice Address - Phone:951-708-1049
Practice Address - Fax:951-823-5507
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-13
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
TX203761106H00000X
CALMFT 99436106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health