Individual
KENNETH SHAH JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
66 MAIN ST APT 511, YONKERS, NY 10701-7087
(646) 706-8479
Mailing address
66 MAIN ST APT 511, YONKERS, NY 10701-7087
(646) 706-8479
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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