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Individual

MS. LASONDRA KAY JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ADMINISTRATOR, SOCIA

Contact information

Practice address
1710 MT SILLIMAN WAY, ANTIOCH, CA 94531-3019
(510) 772-0442
(510) 482-0114
Mailing address
2514 CARMEL ST, OAKLAND, CA 94602-3015
(510) 772-0442
(510) 482-0114

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
225400000X
Rehabilitation Practitioner
Primary
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
CA

Other

Enumeration date
09/18/2007
Last updated
04/10/2026
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