Individual
MR. GEORGE CLINTON JONES V
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
883 PADDOCK AVE, MERIDEN, CT 06450-7044
(203) 630-5328
(203) 634-7083
Mailing address
883 PADDOCK AVE, MERIDEN, CT 06450-7044
(203) 630-5328
(203) 634-7083
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000510
CT
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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