Provider Demographics
NPI:1720647217
Name:JONES, KATHRYN MELISSA (MS)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:MELISSA
Last Name:JONES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:173 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NH
Mailing Address - Zip Code:03280-9998
Mailing Address - Country:US
Mailing Address - Phone:603-845-7314
Mailing Address - Fax:
Practice Address - Street 1:32 FAXON HILL RD
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NH
Practice Address - Zip Code:03280-3411
Practice Address - Country:US
Practice Address - Phone:603-845-7314
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-10
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2529101YM0800X
MA12636101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health