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Individual

JOHANNA RAE JONES

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LPC, LSATP, NCC, CAC

Contact information

Practice address
611 MCDOWELL AVE NW, PHASES/BLUE RIDGE BEHAVIORAL HEALTHCARE, ROANOKE, VA 24016-1225
(540) 342-2086
(540) 266-9205
Mailing address
301 ELM AVE SW, BLUE RIDGE BEHAVIORAL HEALTHCARE, ROANOKE, VA 24016-4001
(540) 345-9841
(540) 527-2900

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
0701002962
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
07018000109
VA

Other

Enumeration date
03/15/2006
Last updated
09/11/2025
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