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Individual
THEODORE JONES
Active
Individual
THEODORE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCMH, LCDP, CADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDP #12
DE
101YM0800X
Mental Health Counselor
Primary
LPCMH #287
DE
Other
Enumeration date
04/24/2007
Last updated
08/31/2009
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