Individual
CRYSTALYN AUDRA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6915 E MAIN ST, MESA, AZ 85207-8229
(602) 599-5476
Mailing address
6915 E MAIN ST, MESA, AZ 85207-8229
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-17934
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
504964
—
AZ
Enumeration date
04/01/2019
Last updated
02/10/2020
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