Individual
REBECCA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC-I
Contact information
Practice address
2111 W HIGHWAY 377, GRANBURY, TX 76048-5627
(817) 573-6002
(817) 573-6009
Mailing address
2111 W HIGHWAY 377, GRANBURY, TX 76048-5627
(817) 573-6002
(817) 573-6009
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
56938
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148686201
—
TX
Enumeration date
05/17/2012
Last updated
06/06/2012
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