Individual
DAVID JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC 2
Contact information
Practice address
11630 SUTPHIN BLVD, JAMAICA, NY 11434-1527
(183) 222-5007
(718) 322-1881
Mailing address
11136 196TH ST, SAINT ALBANS, NY 11412-2027
(184) 645-9047
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11786
NY
Other
Enumeration date
06/21/2017
Last updated
06/12/2019
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