Individual
GORDON WAYNE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC BS
Contact information
Practice address
1619 WASHINGTON AVE, WACO, TX 76701-1134
(254) 753-3626
(254) 753-0715
Mailing address
1619 WASHINGTON AVE, WACO, TX 76701-1134
(254) 753-3626
(254) 753-0715
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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