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NPI Code Detail

MEDICARE: CHAD ALAN JONES

MEDICARE:   CHAD ALAN JONES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.190146OH

General Provider Information

NPI Number : 1760292668
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAD ALAN JONES
Provider Business Mailing Address
First Line : 3836 E LIVINGSTON AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43227-2360
Country : US
Telephone Number : 678-480-0630
Fax Number :
Provider Business Practice Location Address
First Line : 3836 E LIVINGSTON AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43227-2360
Country : US
Telephone Number : 678-480-0630
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2025
Last Update Date : 01/13/2025

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Directions to “ CHAD ALAN JONES ” Practice Location

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