Provider Demographics
NPI:1447867916
Name:JONES, CHRISTOPHER (CADC, NCTTP, MA-PGS)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:JONES
Suffix:
Gender:M
Credentials:CADC, NCTTP, MA-PGS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 COLEMAN ST
Mailing Address - Street 2:
Mailing Address - City:GARDNER
Mailing Address - State:MA
Mailing Address - Zip Code:01440-3767
Mailing Address - Country:US
Mailing Address - Phone:978-632-0934
Mailing Address - Fax:
Practice Address - Street 1:82 GRAHAM ST
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:MA
Practice Address - Zip Code:01440-3858
Practice Address - Country:US
Practice Address - Phone:978-632-0934
Practice Address - Fax:978-632-4572
Is Sole Proprietor?:No
Enumeration Date:2020-09-28
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1801AD101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)