| 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 | 101YM0800X Counselor, Mental Health (Licence: NC 25429) |
| 101YP2500X Counselor, Professional (Licence: NC 25429) | |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2024-07-14 |