Individual
SHANE GABRIEL JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
621 LONDONDERRY ST, DENTON, TX 76201
(940) 483-0644
Mailing address
621 LONDONDERRY LN, DENTON, TX 76205-7792
(940) 483-0644
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
59863
TX
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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