MEDICARE: MRS. TRAMAINE JONES LPC, CSAC, CCTP II

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	0710103675	VA
2	101YP2500X	Professional Counselor	0701015067	VA

General Provider Information

NPI Number	:	1205551009
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TRAMAINE JONES LPC, CSAC, CCTP II

Provider Business Mailing Address
First Line	:	520 NEWPORT NEWS AVE
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23669-3929
Country	:	US
Telephone Number	:	757-349-2668
Fax Number	:

Provider Business Practice Location Address
First Line	:	520 NEWPORT NEWS AVE
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23669-3929
Country	:	US
Telephone Number	:	757-349-2668
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2022
Last Update Date	:	07/10/2025

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