Doctor Name: | KAFFIA JONES |
NPI Number: | 1679950521 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | PSB94020728 |
Business Practice Address: | 3155 Ocean Ter Marina, CA - 939333292 |
Business Phone Number: | 8314844480 |
Business Fax Number: | |
Mailing Address: | 3155 Ocean Ter, MARINA |
State: | CA |
Postal Code: | 939333292 |
Phone Number: | 8314844480 |
Fax Number: | |
NPI Enumeration Date: | 04/29/2015 |
NPI Last Update Date: | 04/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSB94020728 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |