Healthcare Provider Details

I. General information

NPI: 1003494675
Provider Name (Legal Business Name): EMILY KENDALL JONES LCPAT, LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EMILY ANN KENDALL LCPAT, LCPC

II. Dates (important events)

Enumeration Date: 04/01/2021
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5115 HARNEY RD
TANEYTOWN MD
21787-1243
US

IV. Provider business mailing address

3405 SAMS CREEK RD
NEW WINDSOR MD
21776-8315
US

V. Phone/Fax

Practice location:
  • Phone: 240-394-0085
  • Fax:
Mailing address:
  • Phone: 240-394-0085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License NumberATC343
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLC15257
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: