Vernard R Jones, LCMHT,CCAP,MAC,ICADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Tupelo, MS
NPI 1730280397 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1730280397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 502094 (MS)
- Practice address
- 920 Boone St
Tupelo, MS 38804-5908 - Phone
- (662) 844-3531
- Fax
- (662) 844-1757
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00-0075 | MS | MD | Addiction (Substance Use Disorder) Counselor |
| 502094 | MS | MD | Addiction (Substance Use Disorder) Counselor |
| LH0602 | MS | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 00-0075 | MS | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LH0602 | MS | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 502094 | MS | Yes |
Addresses
Primary practice location
920 Boone St
Tupelo, MS 38804-5908
Mailing address
814 Walnut St
Amory, MS 38821-3639
Phone (662) 253-5085
Other providers in Tupelo, MS
- Phillipa Jones
- Randy Jones
- Robbie Jones
- Ruben Barry Jones
- Teneeshia Crenshawn Jones
- Wendy Michele Jones
- William A Jones
- Wonda Jones
- Christina Jordan
- Hannah Jordan
All providers in Tupelo, MS · Addiction (Substance Use Disorder) Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.