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 |
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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 |