Provider Demographics
NPI:1134739550
Name:JONES, CHEKAYLA (MS, NCC, LCMHCA)
Entity type:Individual
Prefix:
First Name:CHEKAYLA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:MS, NCC, LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 BLANDWOOD AVE APT 2A
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-2352
Mailing Address - Country:US
Mailing Address - Phone:704-773-3046
Mailing Address - Fax:
Practice Address - Street 1:230 BLANDWOOD AVE APT 2A
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-2352
Practice Address - Country:US
Practice Address - Phone:704-773-3046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-01
Last Update Date:2020-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA15921101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health