Provider Demographics
NPI:1487417556
Name:JONES, ANDREW ROY (LMFT)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:ROY
Last Name:JONES
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2815 OSLER DR APT 6104
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75051-8339
Mailing Address - Country:US
Mailing Address - Phone:323-440-4389
Mailing Address - Fax:
Practice Address - Street 1:2815 OSLER DR APT 6104
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051-8339
Practice Address - Country:US
Practice Address - Phone:323-440-4389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48226106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist