Healthcare Provider Details

I. General information

NPI: 1104605765
Provider Name (Legal Business Name): MELISSA JONES MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2023
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

332 N PIEDMONT ST APT 1
ARLINGTON VA
22203-3426
US

IV. Provider business mailing address

332 N PIEDMONT ST APT 1
ARLINGTON VA
22203-3426
US

V. Phone/Fax

Practice location:
  • Phone: 808-793-8859
  • Fax:
Mailing address:
  • Phone: 808-793-8859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: