Individual
SANDRA SUZANNE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
204 W COOMBS ST, ALVIN, TX 77511-2827
(409) 763-2373
Mailing address
4352 EMMETT F LOWRY EXPY, TEXAS CITY, TX 77591-2628
(409) 763-2373
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
14250
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83625L
BLUE CROSS BLUE SHEILD
TX
Enumeration date
02/02/2007
Last updated
07/09/2007
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