MEDICARE: INGRID 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	:	1649700840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	INGRID JONES

Provider Business Mailing Address
First Line	:	1416 SHELBORNE CT
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-4818
Country	:	US
Telephone Number	:	757-581-5678
Fax Number	:

Provider Business Practice Location Address
First Line	:	6052 PROVIDENCE RD STE 204
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-3816
Country	:	US
Telephone Number	:	757-685-4016
Fax Number	:

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

Provider Enumeration Date	:	06/20/2017
Last Update Date	:	07/21/2022

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Directions to “ INGRID JONES ” Practice Location

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