Healthcare Provider Details

I. General information

NPI: 1760398382
Provider Name (Legal Business Name): RENEICE JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NEICY JONES

II. Dates (important events)

Enumeration Date: 08/22/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8714 E SPRAGUE AVE # 8378
SPOKANE VALLEY WA
99212-2924
US

IV. Provider business mailing address

8714 E SPRAGUE AVE # 8378
SPOKANE VALLEY WA
99212-2924
US

V. Phone/Fax

Practice location:
  • Phone: 509-557-3999
  • Fax:
Mailing address:
  • Phone: 509-557-3999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberCCC.CL.70028533
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberCPSS.PR.70171895
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: