Individual
WALLACE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 VISTA PKWY STE 290, WEST PALM BEACH, FL 33411-2706
(561) 249-5370
Mailing address
2101 VISTA PKWY STE 290, WEST PALM BEACH, FL 33411-2706
(561) 249-5537
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
120900
FL
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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