MEDICARE: MS. CHRISTIE S. JONES M.A., L.P.C.

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	57849	TX

General Provider Information

NPI Number	:	1386932796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHRISTIE S. JONES M.A., L.P.C.

Provider Business Mailing Address
First Line	:	3923 SILKWOOD TRL
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76016-3841
Country	:	US
Telephone Number	:	817-657-7473
Fax Number	:

Provider Business Practice Location Address
First Line	:	2501 PARKVIEW DR STE 305
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76102-5815
Country	:	US
Telephone Number	:	817-657-7473
Fax Number	:

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

Provider Enumeration Date	:	07/19/2011
Last Update Date	:	07/19/2011

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