Individual
DEREK JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
1307 W MAIN ST, MARION, IL 62959-1139
(618) 997-5339
(618) 993-2969
Mailing address
101 S ORANGE ST, JONESBORO, IL 62952-1128
(573) 318-0382
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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