Individual
RUSSELL S JONES
Active
Individual
RUSSELL S JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
THD, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
0045
NC
101YP2500X
Professional Counselor
Primary
3249
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1021G
BCBSNC
NC
01
—
164610
VALUE OPTIONS
NC
05
—
6102486
—
NC
01
—
C2488
MEDCOST
NC
Enumeration date
03/30/2006
Last updated
07/24/2007
Update your record
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