Individual provider · Type 1 NPI

Charles Glenn Jones Sr., SUDCC

Addiction (Substance Use Disorder) Counselor · Riverside, CA

NPI number 1154890655 Active

Practice location

17270 Roosevelt St
Riverside, CA 92508-9523

Mailing address

5870 Arlington Ave
Riverside, CA 92504-2037

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1154890655

Charles Glenn Jones Sr., SUDCC's National Provider Identifier is 1154890655, issued on Nov 14, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Riverside, CA. The record was last updated on Jun 18, 2025.