Individual provider · Type 1 NPI
Etta Marie Jones, CAS
Addiction (Substance Use Disorder) Counselor · Victorville, CA
NPI number
1952593063
Active
Practice location
16245 Desert Knoll Dr
Victorville, CA 92395-4011
Fax (760) 245-9774
Mailing address
PO Box 1461
Victorville, CA 92393-1461
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1952593063
Etta Marie Jones, CAS's National Provider Identifier is 1952593063, issued on Aug 13, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Victorville, CA. The record was last updated on Aug 13, 2007.