Individual
RICHARD JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS, SAP
Contact information
Practice address
120 FOWLER RD, CAMPOBELLO, SC 29322-9115
(864) 764-8504
Mailing address
120 FOWLER RD, CAMPOBELLO, SC 29322-9115
(864) 764-8504
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-4752
NC
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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