| NPI | 1508319138 |
|---|---|
| Former Name | ALICIA DENICE JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-20423) |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2023-06-23 |