Healthcare Provider Details

I. General information

NPI: 1831683986
Provider Name (Legal Business Name): DEIDREA JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2018
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8050 BECKETT CENTER DR STE 302
WEST CHESTER OH
45069-5033
US

IV. Provider business mailing address

8050 BECKETT CENTER DR STE 302
WEST CHESTER OH
45069-5033
US

V. Phone/Fax

Practice location:
  • Phone: 513-737-1782
  • Fax:
Mailing address:
  • Phone: 513-304-0221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberC.2608211
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: