Individual
MR. MARCUS LANCE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, CADCII
Contact information
Practice address
4606 WESTMINSTER DR, ELLENWOOD, GA 30294-3787
(470) 437-9980
Mailing address
4606 WESTMINSTER DR, ELLENWOOD, GA 30294-3787
(470) 437-9980
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0861
GA
101YP2500X
Professional Counselor
Primary
010807
GA
Other
Enumeration date
07/29/2015
Last updated
11/22/2022
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