MEDICARE: DENISE JEFFREY JONES LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	0701004356	VA
2	103K00000X	Behavior Analyst	0133000660	VA

General Provider Information

NPI Number	:	1073777322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISE JEFFREY JONES LPC

Provider Business Mailing Address
First Line	:	10654 BRADEN WOODS CT
Second Line	:
City	:	CHESTERFIELD
State	:	VA
Zip	:	23832-7225
Country	:	US
Telephone Number	:	434-665-6719
Fax Number	:

Provider Business Practice Location Address
First Line	:	804 MOOREFIELD PARK DR STE 204
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23236-3670
Country	:	US
Telephone Number	:	804-322-7470
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2008
Last Update Date	:	02/29/2024

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