MEDICARE: MS. CINDRA ANN JONES LMHCA CDPT

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	:	1376032730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CINDRA ANN JONES LMHCA CDPT

Provider Business Mailing Address
First Line	:	230 AUBURN WAY S STE 1&2B
Second Line	:
City	:	AUBURN
State	:	WA
Zip	:	98002-5451
Country	:	US
Telephone Number	:	253-333-2328
Fax Number	:	253-333-5068

Provider Business Practice Location Address
First Line	:	230 AUBURN WAY S STE 1&2B
Second Line	:
City	:	AUBURN
State	:	WA
Zip	:	98002-5451
Country	:	US
Telephone Number	:	253-333-2328
Fax Number	:	253-333-5068

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

Provider Enumeration Date	:	05/01/2018
Last Update Date	:	05/01/2018

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