MEDICARE: MS. LATANYA DENISE JONES LPCC, LCDCIII

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	LCDCIII.161891	OH
2	101YM0800X	Mental Health Counselor	C.1901627	OH
3	101YP2500X	Professional Counselor	E.2606441	OH

General Provider Information

NPI Number	:	1548767841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LATANYA DENISE JONES LPCC, LCDCIII

Provider Business Mailing Address
First Line	:	13422 KINSMAN RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-4410
Country	:	US
Telephone Number	:	216-972-4934
Fax Number	:	216-283-5359

Provider Business Practice Location Address
First Line	:	13422 KINSMAN RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120
Country	:	US
Telephone Number	:	216-283-4400
Fax Number	:	216-283-5359

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

Provider Enumeration Date	:	04/12/2018
Last Update Date	:	03/17/2026

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