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Individual

DOUGLAS CARROLL JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1911 PLEASANT AVE, MINNEAPOLIS, MN 55403-3506
(612) 874-9811
(612) 874-9820
Mailing address
1911 PLEASANT AVE, MINNEAPOLIS, MN 55403-3506
(612) 874-9811
(612) 874-9820

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302811
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
302811
ALCOHOL AND DRUG ABUSE COUNSELOR
MN
Enumeration date
07/01/2011
Last updated
07/01/2011
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