MEDICARE: TRACYE 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	106H00000X	Marriage & Family Therapist	46262	CA

General Provider Information

NPI Number	:	1821128612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACYE JONES

Provider Business Mailing Address
First Line	:	PO BOX 55081
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90805-0619
Country	:	US
Telephone Number	:	310-259-7897
Fax Number	:

Provider Business Practice Location Address
First Line	:	121 W VICTORIA ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90805-2162
Country	:	US
Telephone Number	:	310-603-1050
Fax Number	:	310-603-1070

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

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	05/09/2025

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Directions to “ TRACYE JONES ” Practice Location

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