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NPI Code Detail

MEDICARE: GREGORY JONES CDCA

MEDICARE: GREGORY JONES CDCA
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.194878OH

General Provider Information

NPI Number : 1932044013
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY JONES CDCA
Provider Business Mailing Address
First Line : 420 SUPERIOR ST
Second Line :
City : SANDUSKY
State : OH
Zip : 44870-1849
Country : US
Telephone Number : 419-626-5623
Fax Number :
Provider Business Practice Location Address
First Line : 420 SUPERIOR ST
Second Line :
City : SANDUSKY
State : OH
Zip : 44870-1849
Country : US
Telephone Number : 419-626-5623
Fax Number : 419-626-4824
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2026
Last Update Date : 04/23/2026

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Directions to “ GREGORY JONES CDCA” Practice Location

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