Individual
MRS. JANNET JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
402 E MAIN ST, WATERBURY, CT 06702-1701
(203) 574-9000
(203) 574-9006
Mailing address
141 E MAIN ST, 4TH FLOOR ADMINISTRATION, WATERBURY, CT 06702-2310
(203) 574-9000
(203) 574-9006
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004039202
—
CT
01
—
060669107
HEALTHYCT WELLMORE GRP/FACILITY
CT
01
—
13528679
CAQH
CT
01
—
NOT ELIGIBLE
MHN MANAGED HEALTH NETWORK
CT
01
—
PENDING
CIGNA BEHAVIORAL HEALTH
CT
Enumeration date
12/28/2009
Last updated
04/17/2018
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