IndividualActive
Derrick Jones
NPI 1063294353 · Addiction (Substance Use Disorder) Counselor · Saint Louis, MO
Provider details
- NPI number
- 1063294353
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
719 Stonewood Bend Dr
Lake Saint Louis, MO 63367-4064
Registry dates
- Enumerated
- 2023-10-20
- Last updated
- 2023-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.