Individual provider · Type 1 NPI
Jerry Thomas Traylor
Addiction (Substance Use Disorder) Counselor · Ozark, MO
NPI number
1437294295
Active
Practice location
1401 S 13th St
Ozark, MO 65721-8096
Fax (334) 513-1784
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
| Social Worker | 104100000X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1437294295
Jerry Thomas Traylor's National Provider Identifier is 1437294295, issued on Feb 20, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ozark, MO. The record was last updated on Nov 18, 2015.