Provider Demographics
NPI:1902134075
Name:MCMORRIS-JONES, GINA LEE
Entity Type:Individual
Prefix:MRS
First Name:GINA
Middle Name:LEE
Last Name:MCMORRIS-JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5432 BANCROFT AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94601-5803
Mailing Address - Country:US
Mailing Address - Phone:510-302-5066
Mailing Address - Fax:510-302-5066
Practice Address - Street 1:1441 CHINOOK CT
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94130-1629
Practice Address - Country:US
Practice Address - Phone:415-746-1974
Practice Address - Fax:415-394-9081
Is Sole Proprietor?:No
Enumeration Date:2009-11-30
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor