Healthcare Provider Details

I. General information

NPI: 1356966469
Provider Name (Legal Business Name): VERONDA L JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2020
Last Update Date: 06/15/2020
Certification Date: 06/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

784 ORLANDO AVE
AKRON OH
44320-1855
US

IV. Provider business mailing address

784 ORLANDO AVE
AKRON OH
44320-1855
US

V. Phone/Fax

Practice location:
  • Phone: 330-328-2283
  • Fax:
Mailing address:
  • Phone: 330-328-2283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: