NPI | 1508423096 |
---|---|
Former Name | JAMES THOMAS JONES |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 25429) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC CSAC-25546) |
Enumeration Date | 2019-05-21 |
Last Update Date | 2021-10-19 |