Provider Demographics
NPI:1396325221
Name:JONES, DAMIAN PAUL (LGPC)
Entity type:Individual
Prefix:MR
First Name:DAMIAN
Middle Name:PAUL
Last Name:JONES
Suffix:
Gender:M
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2361 FLAX TER
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-4625
Mailing Address - Country:US
Mailing Address - Phone:410-330-2590
Mailing Address - Fax:
Practice Address - Street 1:2361 FLAX TER
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-4625
Practice Address - Country:US
Practice Address - Phone:410-330-2590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-13
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional