| NPI | 1346955432 |
|---|---|
| Former Name | MCKENNA JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.186016) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.181833) |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-10-31 |