Provider Demographics
NPI:1548924939
Name:JONES, DALENE JOY (MAMFC, PLPC, MFTA)
Entity type:Individual
Prefix:MRS
First Name:DALENE
Middle Name:JOY
Last Name:JONES
Suffix:
Gender:F
Credentials:MAMFC, PLPC, MFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 AUTUMN DR
Mailing Address - Street 2:
Mailing Address - City:RUSSELL SPRINGS
Mailing Address - State:KY
Mailing Address - Zip Code:42642-7423
Mailing Address - Country:US
Mailing Address - Phone:225-329-9724
Mailing Address - Fax:
Practice Address - Street 1:1504 LAKEWAY DR
Practice Address - Street 2:
Practice Address - City:RUSSELL SPRINGS
Practice Address - State:KY
Practice Address - Zip Code:42642-4285
Practice Address - Country:US
Practice Address - Phone:270-858-5377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-22
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY291566106H00000X
LAPLC8319390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program