Individual
ANNA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CPCS, LCPC, CAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0381
MD
101YP2500X
Professional Counselor
1164
MD
101YP2500X
Professional Counselor
Primary
3100
GA
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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