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Justin Jackson, LPC
Professional Counselor in Glen Allen, Virginia
NPI 1235788902

Justin Jackson is a Professional Counselor based in Glen Allen, VA and is specialized in Professional. Justin Jackson practices in Glen Allen, VA and has the professional credentials of LPC. The NPI Number for Justin Jackson is 1235788902 and holds a License No. 0701008565 (Virginia).

The current practice location address for Justin Jackson is 4212 Park Place Ct, Glen Allen, VA and can be reached out via phone at 804-332-5950 and via fax at 804-728-1086. You can also correspond with Justin Jackson through the mailing address at 4212 PARK PLACE CT, GLEN ALLEN, VA - 23060-3314 (mailing address contact number: 804-332-5950).

Location: 4212 Park Place Ct, Glen Allen, VA, 23060-3314
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235788902
Provider Name
Justin Jackson
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
4212 Park Place Ct, Glen Allen, VA, 23060-3314
Phone Number
804-332-5950
Fax Number
804-728-1086
Provider Enumeration Date
09/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4212 Park Place Ct
City
Glen Allen
State
Virginia
Zip
23060-3314
Phone Number
804-332-5950
Fax Number
804-728-1086
person
Provider Business Mailing Address Details
Address
4212 Park Place Ct
City
Glen Allen
State
Virginia
Zip
23060-3314
Phone Number
804-332-5950
Fax Number
804-728-1086
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
0701008565 (Virginia)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
0701008565 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
0701008565 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
0701008565 (Virginia)
Definition
Definition to come...
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