Provider Demographics
NPI:1710208889
Name:JONES, KAREN (MPS, JD, LCPC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:MPS, JD, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1282 SMALLWOOD DR W
Mailing Address - Street 2:SUITE 507
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20603-4732
Mailing Address - Country:US
Mailing Address - Phone:301-266-6861
Mailing Address - Fax:
Practice Address - Street 1:1282 SMALLWOOD DR W
Practice Address - Street 2:SUITE 507
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20603
Practice Address - Country:US
Practice Address - Phone:301-266-6861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-11
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2150101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional