Provider Demographics
NPI:1790241271
Name:TOWNSEND-JONES, CHARLESETTA (MS,ALC)
Entity Type:Individual
Prefix:MS
First Name:CHARLESETTA
Middle Name:
Last Name:TOWNSEND-JONES
Suffix:
Gender:F
Credentials:MS,ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 SCOUTING CIR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:AL
Mailing Address - Zip Code:36081-2540
Mailing Address - Country:US
Mailing Address - Phone:334-808-8991
Mailing Address - Fax:334-808-8995
Practice Address - Street 1:153 SCOUTING CIR
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:AL
Practice Address - Zip Code:36081-2540
Practice Address - Country:US
Practice Address - Phone:334-808-8991
Practice Address - Fax:334-808-8995
Is Sole Proprietor?:No
Enumeration Date:2019-02-20
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC1708A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health