Individual
CHARLES JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2166 DAVCOR ST SE, SALEM, OR 97302-1510
(971) 719-6466
Mailing address
245 CANDALARIA BLVD S, SALEM, OR 97302-4410
(971) 209-9537
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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