Provider Demographics
NPI:1851619266
Name:JONES, CAROL L (LPC, NCC, BCC)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:L
Last Name:JONES
Suffix:
Gender:F
Credentials:LPC, NCC, BCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1214
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28302-1214
Mailing Address - Country:US
Mailing Address - Phone:910-486-5715
Mailing Address - Fax:910-486-5715
Practice Address - Street 1:1517 BELEWS CREEK LN
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28312-9510
Practice Address - Country:US
Practice Address - Phone:910-486-5715
Practice Address - Fax:910-486-5715
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-10
Last Update Date:2012-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7139101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health