Doctor Name: | JUDITH ANN JONES |
NPI Number: | 1033408778 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CADC-1 |
License Number: | 37-14 |
Business Practice Address: | 1560 Capalina Rd San Marcos, CA - 920691288 |
Business Phone Number: | 7607442104 |
Business Fax Number: | 7607441382 |
Mailing Address: | 1560 Capalina Rd, SAN MARCOS |
State: | CA |
Postal Code: | 920691288 |
Phone Number: | 7607442104 |
Fax Number: | 7607441382 |
NPI Enumeration Date: | 04/04/2011 |
NPI Last Update Date: | 04/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM2800X |
License Number: | 37-14 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Methadone Clinic |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |