| NPI | 1093787426 |
|---|---|
| Former Name | ANDRA D RIVERS-JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005636A (LCSW)) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 991842 (LICDC)) |
| 1041C0700X Social Worker, Clinical (Licence: OH I - 0009358 (LISW)) | |
| 1041C0700X Social Worker, Clinical (Licence: WI 2979-123 (LCSW)) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87000438A (LCAC)) | |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2011-10-17 |