Healthcare Provider Details

I. General information

NPI: 1396260089
Provider Name (Legal Business Name): CHRISTINA JONES LPCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2017
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6604 SIX FORKS RD STE 202
RALEIGH NC
27615-6521
US

IV. Provider business mailing address

282 LAKEVIEW ESTATES DR
PRINCETON NC
27569-9214
US

V. Phone/Fax

Practice location:
  • Phone: 919-631-5247
  • Fax:
Mailing address:
  • Phone: 919-617-6388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number12964
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number1296A
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberA1296A
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: