Individual
CARRIE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1915 D ST, ANTIOCH, CA 94509-2571
(925) 754-3673
Mailing address
1915 D ST, ANTIOCH, CA 94509-2571
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417163494
REACH PROJECT
CA
Enumeration date
11/04/2021
Last updated
11/04/2021
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