Individual provider · Type 1 NPI

Cory Lee Jones, LADAC

Addiction (Substance Use Disorder) Counselor · Jackson, TN

NPI number 1669720611 Active

Practice location

238 Summar Dr
Jackson, TN 38301-3906

Mailing address

1804 Highway 45 Byp, Suite 604
Jackson, TN 38305-4436

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X332 (TN)

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

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About NPI 1669720611

Cory Lee Jones, LADAC's National Provider Identifier is 1669720611, issued on Aug 23, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jackson, TN. The record was last updated on Aug 23, 2012.