Individual
MISS LAWANDA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.A.S.A.C.
Contact information
Practice address
801 WEST AVE, ROCHESTER, NY 14611-2453
(585) 325-5100
(585) 279-0317
Mailing address
801 WEST AVE, ROCHESTER, NY 14611-2453
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20746
NY
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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