Robert Jones, LCPC

Individual provider Active NPI Mental Health Counselor · Bridgton, ME

NPI 1629490289 · NPPES record last updated Jan 15, 2014

Key facts

NPI
1629490289
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
CC1589 (ME)
Practice address
297 Del Chadbourne Rd
Bridgton, ME 04009-4548
Phone
(207) 461-6234
NPI assigned
Jan 15, 2014
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
CC1589MEMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC1589 ME Yes

Addresses

Primary practice location

297 Del Chadbourne Rd
Bridgton, ME 04009-4548

Mailing address

297 Del Chadbourne Rd
Bridgton, ME 04009-4548
Phone (207) 461-6234

Other providers in Bridgton, ME

All providers in Bridgton, ME · Mental Health Counselor in Maine

Sources for this page

Verify at the official NPI Registry.