| Mrs Alexis Audrey Jones, LCPC, CADC | |
|
23 Wabanaki Way, Indian Island, ME 04468 | |
| (207) 817-7424 | |
| (207) 817-7452 |
| Full Name | Mrs Alexis Audrey Jones |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 23 Wabanaki Way, Indian Island, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891370375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Maine) | Secondary |
| 101YP2500X | Counselor - Professional | (Maine) | Primary |
| Entity Name | Health Affiliates Maine, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932413556 PECOS PAC ID: 1951594076 Enrollment ID: O20101021000912 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Alexis Audrey Jones, LCPC, CADC 23 Wabanaki Way, Indian Island, ME 04468 Ph: (207) 817-7424 | Mrs Alexis Audrey Jones, LCPC, CADC 23 Wabanaki Way, Indian Island, ME 04468 Ph: (207) 817-7424 |
Dr. John Nmn Yasenchak, ED. D Counselor Medicare: Not Enrolled in Medicare Practice Location: 23 Wabanaki Way, Indian Island, ME 04468 Phone: 207-817-7400 Fax: 207-827-5022 | |
Marie Mitchell, LCPC, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 23 Wabanaki Way, Indian Island, ME 04468 Phone: 207-817-7400 Fax: 207-827-5022 | |
Mr. Dale E Lolar, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 23 Wabanaki Way, Indian Island, ME 04468 Phone: 207-817-7425 Fax: 207-827-5022 |