Individual
THEODORE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCMH, LCDP, CADC
Contact information
Practice address
3519 SILVERSIDE RD, RIDGELY BLDG, STE 101B, WILMINGTON, DE 19810-4909
(302) 598-3831
(302) 691-3660
Mailing address
3519 SILVERSIDE ROAD, RIDGELY BLDG, STE 101B, WILMINGTON, DE 19810
(302) 598-3831
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDP #12
DE
101YM0800X
Mental Health Counselor
Primary
LPCMH #287
DE
Other
Enumeration date
04/24/2007
Last updated
08/31/2009
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