Provider Demographics
NPI:1174811236
Name:JONES, ADREA JANETTE (LPC)
Entity type:Individual
Prefix:
First Name:ADREA
Middle Name:JANETTE
Last Name:JONES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4940 SHEPHERDS CREEK DR APT 1
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-9255
Mailing Address - Country:US
Mailing Address - Phone:501-428-4010
Mailing Address - Fax:
Practice Address - Street 1:4055 SERAPH DR STE 5
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-3536
Practice Address - Country:US
Practice Address - Phone:501-428-4010
Practice Address - Fax:501-214-6866
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-11
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1412101101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional