Individual
SHAMEKA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17618 LITTLE BOUGH LN, MAGNOLIA, TX 77354-5208
(832) 257-5336
Mailing address
17618 LITTLE BOUGH LN, MAGNOLIA, TX 77354-5208
(832) 257-5336
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
—
—
171W00000X
Contractor
Primary
—
—
171WH0202X
Home Modifications Contractor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29590111
—
TX
Enumeration date
07/06/2022
Last updated
07/06/2022
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