Provider Demographics
NPI:1326824285
Name:JONES, BONNIE (LPC-A)
Entity Type:Individual
Prefix:
First Name:BONNIE
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:BONNIE
Other - Middle Name:
Other - Last Name:BROWNLEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5 HARVEST LN
Mailing Address - Street 2:
Mailing Address - City:EAST GRANBY
Mailing Address - State:CT
Mailing Address - Zip Code:06026-8708
Mailing Address - Country:US
Mailing Address - Phone:860-716-9819
Mailing Address - Fax:
Practice Address - Street 1:133 MOUNTAIN RD STE 2
Practice Address - Street 2:
Practice Address - City:SUFFIELD
Practice Address - State:CT
Practice Address - Zip Code:06078-2084
Practice Address - Country:US
Practice Address - Phone:860-758-0735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0006734101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional