Provider Demographics
NPI:1740507516
Name:JONES, FREDERICK LEE (LMHC)
Entity type:Individual
Prefix:
First Name:FREDERICK
Middle Name:LEE
Last Name:JONES
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 TWILLER ST
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12209-2135
Mailing Address - Country:US
Mailing Address - Phone:518-791-0494
Mailing Address - Fax:
Practice Address - Street 1:40 TWILLER ST
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12209-2135
Practice Address - Country:US
Practice Address - Phone:518-791-0494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-03
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004904-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health