Provider Demographics
NPI:1881103612
Name:JONES, JANE ALLISON (MA, LCAS, LPC-A)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:ALLISON
Last Name:JONES
Suffix:
Gender:F
Credentials:MA, LCAS, LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 CHADWICK AVE STE C
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-5395
Mailing Address - Country:US
Mailing Address - Phone:828-476-7728
Mailing Address - Fax:
Practice Address - Street 1:120 CHADWICK AVE STE C
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-5395
Practice Address - Country:US
Practice Address - Phone:828-697-4187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-25
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23418101YA0400X
NCA13366101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)