Provider Demographics
NPI:1609185123
Name:JONES, BRADLEY R (LPC)
Entity Type:Individual
Prefix:MR
First Name:BRADLEY
Middle Name:R
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 1:1100 HOWELL MILL RD NW STE 613
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-8649
Mailing Address - Country:US
Mailing Address - Phone:404-386-2837
Mailing Address - Fax:
Practice Address - Street 1:1100 HOWELL MILL RD NW STE 613
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-8649
Practice Address - Country:US
Practice Address - Phone:404-386-2837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-30
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA006162101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional