DEITRA JONES

MODESTO, CA
NPI1568892784
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: CA  ASW111251)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  C030590115)
Enumeration Date2013-11-25
Last Update Date2024-08-08
Business Address
DEITRA JONES
190 E HACKETT RD
MODESTO, CA 95358-9001
Phone number: 209-525-7218
Mailing Address
DEITRA JONES
190 E HACKETT RD
MODESTO, CA 95358-9001
Phone number: 209-525-7218