Sirilda C Jones, LPC | |
519 S Park St, Kalamazoo, MI 49007-5117 | |
(269) 903-0542 | |
Not Available |
Full Name | Sirilda C Jones |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 519 S Park St, Kalamazoo, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235639253 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6401224215 (Michigan) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 6401016071 (Michigan) | Primary |
Entity Name | Kalamazoo County Community Mental Health Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710066253 PECOS PAC ID: 5890730337 Enrollment ID: O20050624000176 |
Mailing Address | Practice Location Address |
---|---|
Sirilda C Jones, LPC 519 S Park St, Kalamazoo, MI 49007-5117 Ph: (269) 903-0542 | Sirilda C Jones, LPC 519 S Park St, Kalamazoo, MI 49007-5117 Ph: (269) 903-0542 |
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