Individual
ATHENA RENEE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
1617 S HAWTHORNE RD, WINSTON SALEM, NC 27103-4127
(336) 842-6980
(336) 842-6984
Mailing address
1617 S HAWTHORNE RD, WINSTON SALEM, NC 27103-4127
(336) 842-6980
(336) 842-6984
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CADC-22571
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-28064
NC
Other
Enumeration date
05/11/2021
Last updated
09/22/2022
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