Individual
ANDRE J JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC 2
Contact information
Practice address
11440 VAN WYCK EXPY, SOUTH OZONE PARK, NY 11420-2229
(718) 322-3455
Mailing address
11440 VAN WYCK EXPY, SOUTH OZONE PARK, NY 11420-2229
(718) 322-3455
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18488
NY
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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