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Individual

CORY LEE JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LADAC

Contact information

Practice address
238 SUMMAR DR, JACKSON, TN 38301-3906
(731) 541-8200
Mailing address
1804 HIGHWAY 45 BYP, SUITE 604, JACKSON, TN 38305-4436

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
332
TN

Other

Enumeration date
08/23/2012
Last updated
08/23/2012
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