Gordon Wayne Jones, LCDC BS

NPI #1396962619 in Waco, Texas

Provider Information

NPI Number
1396962619
Entity Type
Individual
Name
Gordon Wayne Jones, LCDC BS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Substance Abuse Rehabilitation Facility
Credential
LCDC BS
Enumeration Date
Apr 19, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1619 WASHINGTON AVE
City
Waco
State
Texas
ZIP Code
76701-1134
Phone
(254) 753-3626

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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