Healthcare Provider Details

I. General information

NPI: 1417132440
Provider Name (Legal Business Name): ANGELA G THOMAS-JONES LCMHC, MLADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANGELA T JONES LCMHC, MLADC

II. Dates (important events)

Enumeration Date: 01/09/2008
Last Update Date: 04/18/2024
Certification Date: 04/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

845 OLD FRANCONIA RD
BETHLEHEM NH
03574-5875
US

IV. Provider business mailing address

PO BOX 445
FRANCONIA NH
03580-0445
US

V. Phone/Fax

Practice location:
  • Phone: 603-444-1039
  • Fax:
Mailing address:
  • Phone: 603-616-2019
  • Fax: 603-761-7255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCC6812
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1109
License Number StateNH
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCC04379
License Number StateMN
# 4
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCC6812
License Number StateME
# 5
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCC04379
License Number StateMN
# 6
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number0291
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: