Individual
MS. STEPHANIE ANN JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADCII
Contact information
Practice address
1 SERENITY LN, COBURG, OR 97408-9350
(541) 687-1110
(541) 683-9061
Mailing address
PO BOX 8549, COBURG, OR 97408-1313
(541) 687-1110
(541) 683-9061
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
40-0992
OR
Other
Enumeration date
03/03/2016
Last updated
11/28/2018
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