Individual
CALLIE L JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDRC #12472
Contact information
Practice address
104 S C ST STE A, LOMPOC, CA 93436-6924
(805) 588-0040
Mailing address
840 N G ST APT F, LOMPOC, CA 93436-4153
(805) 588-0040
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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