Provider Demographics
NPI:1598336323
Name:JONES, ALEXANDRIA M (MA, NCC, LPC)
Entity Type:Individual
Prefix:MISS
First Name:ALEXANDRIA
Middle Name:M
Last Name:JONES
Suffix:
Gender:F
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 48
Mailing Address - Street 2:
Mailing Address - City:WANBLEE
Mailing Address - State:SD
Mailing Address - Zip Code:57577-0048
Mailing Address - Country:US
Mailing Address - Phone:724-596-6324
Mailing Address - Fax:
Practice Address - Street 1:210 FIRST STREET
Practice Address - Street 2:
Practice Address - City:WANBLEE
Practice Address - State:SD
Practice Address - Zip Code:57577
Practice Address - Country:US
Practice Address - Phone:724-596-6324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-02
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00640600101YP2500X
PAPC008650101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional