Individual
STACEY JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
765 E HAMILTON AVE, FLINT, MI 48505-4707
(810) 233-5340
Mailing address
765 E HAMILTON AVE, FLINT, MI 48505-4707
(810) 233-5340
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/20/2019
Last updated
09/09/2020
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