MEDICARE: MS. BRANDY SHARELLE JONES-THOMAS LMFT

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	106H00000X	Marriage & Family Therapist	82210	CA

General Provider Information

NPI Number	:	1396903084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BRANDY SHARELLE JONES-THOMAS LMFT

Provider Business Mailing Address
First Line	:	8824 LAGUNA STAR DR
Second Line	:
City	:	ELK GROVE
State	:	CA
Zip	:	95758-6301
Country	:	US
Telephone Number	:	916-599-9696
Fax Number	:

Provider Business Practice Location Address
First Line	:	3440 VIKING DR STE 114
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95827-2844
Country	:	US
Telephone Number	:	916-427-7190
Fax Number	:

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

Provider Enumeration Date	:	05/29/2008
Last Update Date	:	12/09/2024

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