Individual
JEANNETTE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
435 E 119TH ST, NEW YORK, NY 10035-3627
(212) 360-4002
Mailing address
435 E 119TH ST, NEW YORK, NY 10035-3627
(212) 360-4002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7182
NY
Other
Enumeration date
04/21/2014
Last updated
06/08/2016
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