Individual
VIRGINIA LEE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSADC
Contact information
Practice address
101 S LOCUST ST, CENTRALIA, IL 62801-3506
(618) 533-1391
(618) 533-0012
Mailing address
1753 JEFF RD, WALNUT HILL, IL 62893
(618) 249-8781
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2193
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2193
CSADC
IL
01
—
22437
CCJAP
IL
Enumeration date
11/08/2006
Last updated
07/08/2007
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