Provider Demographics
NPI:1811717879
Name:JONES, CECELIA A
Entity type:Individual
Prefix:
First Name:CECELIA
Middle Name:A
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 TITAN TRL
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-3460
Mailing Address - Country:US
Mailing Address - Phone:540-562-3900
Mailing Address - Fax:540-776-7320
Practice Address - Street 1:5000 TITAN TRL
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-3460
Practice Address - Country:US
Practice Address - Phone:540-562-3900
Practice Address - Fax:540-776-7320
Is Sole Proprietor?:No
Enumeration Date:2024-10-15
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool