Individual
CONTAKA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1109 CARTER ST STE 10, VIDALIA, LA 71373-3227
(318) 336-4700
Mailing address
2 FINGER LANE, NATCHEZ,, MS 39120
(318) 336-4700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
17367
LA
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
640897031
—
LA
Enumeration date
09/16/2022
Last updated
03/03/2023
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