| NPI | 1932247186 |
|---|---|
| Former Name | DONALD SHELTON JONES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 1659) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-07-08 |