Individual
SHANELLE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 THIRD AVE STE C23, CHULA VISTA, CA 91910-3955
(858) 255-0372
Mailing address
310 THIRD AVE STE C23, CHULA VISTA, CA 91910-3955
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APCC12607
CA
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/19/2016
Last updated
01/23/2026
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