Individual
THOMAS JAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
1800 GRANDVIEW BLVD, SIOUX CITY, IA 51105-1026
(712) 258-4776
(712) 224-2169
Mailing address
1800 GRANDVIEW BLVD, SIOUX CITY, IA 51105-1026
(712) 258-4776
(712) 224-2169
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11134
IA
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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