Healthcare Provider Details

I. General information

NPI: 1295052371
Provider Name (Legal Business Name): MS. PATRICIA MARIE JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2010
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 HILBORN ST
VALLEJO CA
94590-3729
US

IV. Provider business mailing address

117 HILBORN ST
VALLEJO CA
94590-3729
US

V. Phone/Fax

Practice location:
  • Phone: 707-315-0081
  • Fax: 707-637-2259
Mailing address:
  • Phone: 707-315-0081
  • Fax: 707-637-2259

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number14528
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: