Provider Demographics
NPI:1447407663
Name:JONES, JOSHUA (PHD, LCPC)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:
Last Name:JONES
Suffix:
Gender:M
Credentials:PHD, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 ACKLEY FARM RD
Mailing Address - Street 2:
Mailing Address - City:BLUE HILL
Mailing Address - State:ME
Mailing Address - Zip Code:04614-5600
Mailing Address - Country:US
Mailing Address - Phone:207-664-8684
Mailing Address - Fax:
Practice Address - Street 1:87 ACKLEY FARM RD
Practice Address - Street 2:
Practice Address - City:BLUE HILL
Practice Address - State:ME
Practice Address - Zip Code:04614-5600
Practice Address - Country:US
Practice Address - Phone:207-664-8684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-19
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC3606101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MECC3606OtherSTATE OF MAINE BD. OF PROF. & FINANCIAL REGULATION
218076OtherNATIONAL BOARD OF CERTIFIED COUNSELORS