Provider Demographics
NPI:1972805703
Name:JONES, SANDRA A (LCPC)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:A
Last Name:JONES
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 KENNARD RD
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03290-5804
Mailing Address - Country:US
Mailing Address - Phone:603-942-8967
Mailing Address - Fax:
Practice Address - Street 1:25 KENNARD RD
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:NH
Practice Address - Zip Code:03290-5804
Practice Address - Country:US
Practice Address - Phone:603-942-8967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-30
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC1861101YP2500X
NH2313101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional