NPI | 1184073488 |
---|---|
Former Name | ANGELA RENEE JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2404402) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161579) |
Enumeration Date | 2016-06-07 |
Last Update Date | 2024-06-11 |