Individual
BRUCE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1209 E 35TH AVE APT 2C, GRIFFITH, IN 46319-1409
(219) 923-8486
Mailing address
1209 E 35TH AVE APT 2C, GRIFFITH, IN 46319-1409
(219) 923-8486
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87001537A
IN
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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