Healthcare Provider Details

I. General information

NPI: 1538825815
Provider Name (Legal Business Name): ELIZABETH T JONES LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2021
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 W BRANDT BLVD STE 108
SALUNGA PA
17538-1161
US

IV. Provider business mailing address

53 W BRANDT BLVD STE 108
SALUNGA PA
17538-1161
US

V. Phone/Fax

Practice location:
  • Phone: 717-208-2155
  • Fax: 999-999-9999
Mailing address:
  • Phone: 717-208-2155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC013818
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: