| Doctor Name: | DR. DIANNE SILVER JONES-FREEMAN |
| NPI Number: | 1083763460 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ED.D. |
| License Number: | 0701000554 |
| Business Practice Address: | 200 Professional Park Dr Se Suite 1 Blacksburg, VA - 240606679 |
| Business Phone Number: | 5405521402 |
| Business Fax Number: | 5405523428 |
| Mailing Address: | 200 Professional Park Dr Se, Suite 1 BLACKSBURG |
| State: | VA |
| Postal Code: | 240606679 |
| Phone Number: | 5405521402 |
| Fax Number: | 5405523428 |
| NPI Enumeration Date: | 01/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0701000554 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |