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

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Social Worker 104100000XNone listed
Case Manager/Care Coordinator 171M00000XNone 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.