Provider Demographics
NPI:1629490289
Name:JONES, ROBERT (LCPC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:
Last Name:JONES
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:297 DEL CHADBOURNE RD
Mailing Address - Street 2:
Mailing Address - City:BRIDGTON
Mailing Address - State:ME
Mailing Address - Zip Code:04009-4548
Mailing Address - Country:US
Mailing Address - Phone:207-461-6234
Mailing Address - Fax:
Practice Address - Street 1:297 DEL CHADBOURNE RD
Practice Address - Street 2:
Practice Address - City:BRIDGTON
Practice Address - State:ME
Practice Address - Zip Code:04009-4548
Practice Address - Country:US
Practice Address - Phone:207-461-6234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-15
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC1589101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health