MEDICARE: VERCILLIA JONES

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1194149005
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERCILLIA JONES

Provider Business Mailing Address
First Line	:	8379 W SUNSET RD STE 210
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2243
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2435 FIRE MESA ST # 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-9009
Country	:	US
Telephone Number	:	702-476-3742
Fax Number	:

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

Provider Enumeration Date	:	02/12/2014
Last Update Date	:	07/29/2024

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Directions to “ VERCILLIA JONES ” Practice Location

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