Provider Demographics
NPI:1649548124
Name:JONES, DAWNA MARIE (MS, LCMHC, MLADC)
Entity type:Individual
Prefix:
First Name:DAWNA
Middle Name:MARIE
Last Name:JONES
Suffix:
Gender:F
Credentials:MS, LCMHC, MLADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 ISLINGTON ST STE 2D
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-4288
Mailing Address - Country:US
Mailing Address - Phone:603-288-1254
Mailing Address - Fax:
Practice Address - Street 1:501 ISLINGTON ST STE 2D
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4288
Practice Address - Country:US
Practice Address - Phone:603-288-1254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-12
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0879101YA0400X
NH972101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA13348OtherLMHC
NH972OtherLCMHC
NH0879OtherMLADC
MA22002OtherLADC I
NH3088690Medicaid