Individual
MR. ROBERT LLOYD JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
2129 SOUTH ONEIDA STREET, SUITE 115, GREEN BAY, WI 54304
(920) 661-0884
Mailing address
2129 SOUTH ONEIDA STREET, SUITE 115, GREEN BAY, WI 54304
(920) 661-0884
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14060131
WI
101YM0800X
Mental Health Counselor
682125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39278600
—
WI
01
—
CADCD14060
CERT. ALCOL & DRUG
WI
01
—
CASC2865
CERT. ADDICTIONS SPEC.
MN
01
—
LPC682-125
LICENSED PROF. COUNSELOR
WI
Enumeration date
05/02/2007
Last updated
04/10/2008
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