Individual
MS. TAKECHA ADELE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
3754 RIVERMIST DR, RALEIGH, NC 27610-5647
(804) 218-7208
Mailing address
3754 RIVERMIST DR, RALEIGH, NC 27610-5647
(804) 218-7208
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-23486
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS23486
NC
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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