Individual
NELSON JONES IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
1612 RIVERS ST, GREENWOOD, SC 29649-8513
(864) 227-1001
(864) 227-3619
Mailing address
1612 RIVERS ST, GREENWOOD, SC 29649-8513
(864) 227-1001
(864) 227-3619
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1206145
SC
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421504
—
SC
Enumeration date
03/11/2008
Last updated
03/03/2013
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