Provider Demographics
NPI:1902085970
Name:JONES, ALLISON C (MFT)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:C
Last Name:JONES
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1248 LAYSAN TEAL DR
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95747-4643
Mailing Address - Country:US
Mailing Address - Phone:916-759-4858
Mailing Address - Fax:
Practice Address - Street 1:1248 LAYSAN TEAL DR
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95747-4643
Practice Address - Country:US
Practice Address - Phone:916-759-4858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-26
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50558106H00000X
CA50073106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist