Provider Demographics
NPI:1538392014
Name:JONES, JAMUNA (LCSW)
Entity type:Individual
Prefix:
First Name:JAMUNA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12427 S PASTURE RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:RIVERTON
Mailing Address - State:UT
Mailing Address - Zip Code:84096-5607
Mailing Address - Country:US
Mailing Address - Phone:801-727-8744
Mailing Address - Fax:
Practice Address - Street 1:12427 S PASTURE RD
Practice Address - Street 2:SUITE 104
Practice Address - City:RIVERTON
Practice Address - State:UT
Practice Address - Zip Code:84096-5607
Practice Address - Country:US
Practice Address - Phone:801-727-8744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-31
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6733024-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical