Provider Demographics
NPI:1053725226
Name:JONES, ANGELIA (MA, LCMHCS, LCAS)
Entity type:Individual
Prefix:MRS
First Name:ANGELIA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:MA, LCMHCS, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 BELVEDERE DR
Mailing Address - Street 2:
Mailing Address - City:HOLLY RIDGE
Mailing Address - State:NC
Mailing Address - Zip Code:28445-6954
Mailing Address - Country:US
Mailing Address - Phone:443-760-0924
Mailing Address - Fax:
Practice Address - Street 1:200 VALENCIA DR STE 123
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-6311
Practice Address - Country:US
Practice Address - Phone:910-358-6621
Practice Address - Fax:910-239-8126
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-16
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-21517101YA0400X
NC10854101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)