Provider Demographics
NPI:1518332527
Name:JONES, HEATHER CALVERT (MA, LPC, NCC)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:CALVERT
Last Name:JONES
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:LYNN
Other - Last Name:CALVERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5252 CHEROKEE AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22312-2000
Mailing Address - Country:US
Mailing Address - Phone:703-879-1067
Mailing Address - Fax:703-997-5359
Practice Address - Street 1:5252 CHEROKEE AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312-2000
Practice Address - Country:US
Practice Address - Phone:703-879-1067
Practice Address - Fax:703-997-5359
Is Sole Proprietor?:No
Enumeration Date:2015-12-02
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004919101YP2500X
MDLC4350101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional