MEDICARE: MS. CYNTHIA RENA JONES MS,CRC, LCMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	A10194	NC
2	101YM0800X	Mental Health Counselor	10194	NC

General Provider Information

NPI Number	:	1598106171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CYNTHIA RENA JONES MS,CRC, LCMHC

Provider Business Mailing Address
First Line	:	PO BOX 60447
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-0447
Country	:	US
Telephone Number	:	336-277-6050
Fax Number	:	336-992-3141

Provider Business Practice Location Address
First Line	:	280 BROAD ST STE E
Second Line	:
City	:	KERNERSVILLE
State	:	NC
Zip	:	27284-2948
Country	:	US
Telephone Number	:	336-277-6050
Fax Number	:	336-992-3141

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2013
Last Update Date	:	04/15/2026

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