MEDICARE: DR. THOMAS LAMONT JONES PHD. LPC-S LMSW NBCC

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	104100000X	Social Worker	Q3-0000326	DE
2	101YP2500X	Professional Counselor	11609	TX

General Provider Information

NPI Number	:	1134229420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS LAMONT JONES PHD. LPC-S LMSW NBCC

Provider Business Mailing Address
First Line	:	2052 ALLENA LANE
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76502
Country	:	US
Telephone Number	:	254-699-4743
Fax Number	:	254-699-4743

Provider Business Practice Location Address
First Line	:	3210 LAKE INKS AVENUE, LAKE INKS PROFESSIONAL SERVICES
Second Line	:
City	:	KILLEEN
State	:	TX
Zip	:	76543
Country	:	US
Telephone Number	:	254-368-6177
Fax Number	:	254-935-3317

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

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	04/19/2022

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