| NPI | 1750668000 |
|---|---|
| Former Name | STEPHANIE JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC S8271) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 1997) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NJ 37LC00276600) | |
| 101YP2500X Counselor Professional (Licence: NC A8271) | |
| 101YP2500X Counselor Professional (Licence: NJ 37PC00612700) | |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2019-08-07 |