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Individual

MR. DERRICK R JONES SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1426 WRIGHT ST, SAINT LOUIS, MO 63107-3827
(314) 667-5255
Mailing address
719 STONEWOOD BEND DR, LAKE SAINT LOUIS, MO 63367-4064
(314) 283-9832

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
10/20/2023
Last updated
10/23/2023
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