Provider Demographics
NPI:1649993668
Name:JONES, KENNETH SCOTT (LPC)
Entity type:Individual
Prefix:
First Name:KENNETH
Middle Name:SCOTT
Last Name:JONES
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:KENNETH
Other - Middle Name:SCOTT
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:389 LAKE HAMILTON DR APT F2
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS NATIONAL PARK
Mailing Address - State:AR
Mailing Address - Zip Code:71913-6874
Mailing Address - Country:US
Mailing Address - Phone:662-710-4404
Mailing Address - Fax:
Practice Address - Street 1:389 LAKE HAMILTON DR APT F2
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-6874
Practice Address - Country:US
Practice Address - Phone:662-710-4404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-23
Last Update Date:2024-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP2101142101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)