Individual
MS. COURTNEY JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMPSS
Contact information
Practice address
2400 SHADY WILLOW LN UNIT 16A, BRENTWOOD, CA 94513-3718
(510) 798-6538
Mailing address
2400 SHADY WILLOW LN UNIT 16A, BRENTWOOD, CA 94513-3718
(510) 798-6538
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
175T00000X
Peer Specialist
Primary
MPSS-OVZLJH
CA
175T00000X
Peer Specialist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MPSS-OVZLJH
MEDI-CAL
CA
Enumeration date
10/24/2022
Last updated
07/14/2026
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