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Individual

DR. RUSSELL T. JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
305 WASHINGTON ST SW, BLACKSBURG, VA 24060-4733
(540) 557-7952
Mailing address
409 FLOYD ST, BLACKSBURG, VA 24060-5070
(540) 231-5934

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
0810002255
VA
103TC0700X
Clinical Psychologist
Primary
0810002255
VA

Other

Enumeration date
11/06/2012
Last updated
11/06/2012
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