| Doctor Name: | MS. JUDITH H. CLARKE-JONES |
| NPI Number: | 1003967449 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC, MED, MAC, NCC |
| License Number: | |
| Business Practice Address: | 1130 Ten Rod Rd Suite A102 North Kingstown, RI - 028524161 |
| Business Phone Number: | 4012952230 |
| Business Fax Number: | 4012670105 |
| Mailing Address: | 110 Kogoli Way, WAKEFIELD |
| State: | RI |
| Postal Code: | 028792467 |
| Phone Number: | 4017839365 |
| Fax Number: | 4012670105 |
| NPI Enumeration Date: | 01/14/2007 |
| NPI Last Update Date: | 12/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |