Individual
ANTHENA P JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
940 GA HIGHWAY 96 STE A, WARNER ROBINS, GA 31088-2587
(478) 988-1222
Mailing address
940 GA HIGHWAY 96, STE A, WARNER ROBINS, GA 31088-2584
(478) 988-1222
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45CFR 162.103
—
GA
Enumeration date
04/14/2017
Last updated
04/14/2017
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