Healthcare Provider Details

I. General information

NPI: 1942996376
Provider Name (Legal Business Name): KRYSTAL KAY JONES LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2023
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 N 300 E SUITE 101
SAINT GEORGE UT
84770-2900
US

IV. Provider business mailing address

40 N 300 E SUITE 101
SAINT GEORGE UT
84770
US

V. Phone/Fax

Practice location:
  • Phone: 435-772-5235
  • Fax: 435-216-3008
Mailing address:
  • Phone: 435-772-5235
  • Fax: 435-216-3008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8397670-6004
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: