Individual
VICKI A JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1809 S BROADWAY STE S, MINOT, ND 58701-6567
(701) 240-3775
Mailing address
1809 S BROADWAY STE S, MINOT, ND 58701-6567
(701) 240-3775
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1493
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022792
BCBS ND PIN
ND
05
—
054517
—
ND
Enumeration date
07/06/2006
Last updated
02/06/2019
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