Provider Demographics
NPI:1679698419
Name:JONES, SUSAN C (MA, LMFT-S, CRC)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:C
Last Name:JONES
Suffix:
Gender:F
Credentials:MA, LMFT-S, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10655 SIX PINES DR STE 150
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3432
Mailing Address - Country:US
Mailing Address - Phone:281-851-7416
Mailing Address - Fax:
Practice Address - Street 1:10655 SIX PINES DR STE 150
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3432
Practice Address - Country:US
Practice Address - Phone:281-851-7416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2673101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1831235894OtherCORPORATION