Provider Demographics
NPI:1578617510
Name:JONES, TODD THOMAS (LPC)
Entity Type:Individual
Prefix:MR
First Name:TODD
Middle Name:THOMAS
Last Name:JONES
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2410 CAMDEN RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-1606
Mailing Address - Country:US
Mailing Address - Phone:336-420-9010
Mailing Address - Fax:
Practice Address - Street 1:3225 BATTLEGROUND AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-2617
Practice Address - Country:US
Practice Address - Phone:336-355-7872
Practice Address - Fax:336-550-4112
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4585101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional