| Doctor Name: | DR. RICHELLE E. JONES |
| NPI Number: | 1316391287 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | LCAS-22039 |
| Business Practice Address: | 110 Southwest Center St. Mount Olive, NC - 283652124 |
| Business Phone Number: | 9196353344 |
| Business Fax Number: | |
| Mailing Address: | 2540 Mcarthur Landing Cir, Apt. 202 FAYETTEVILLE |
| State: | NC |
| Postal Code: | 283119032 |
| Phone Number: | 9109885943 |
| Fax Number: | |
| NPI Enumeration Date: | 04/18/2016 |
| NPI Last Update Date: | 04/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | LCAS-22039 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |