| NPI | 1518253947 |
|---|---|
| Former Name | BEVERLY JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 8442) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 21045) |
| 101YS0200X Counselor School (Licence: NC A8442) | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2022-07-21 |