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Nicole Jackson, LPC
Professional Counselor in Yorktown, Virginia
NPI 1578740023

Nicole Jackson is a Professional Counselor based in Yorktown, VA and is specialized in Professional. Nicole Jackson practices in Yorktown, VA and has the professional credentials of LPC. The NPI Number for Nicole Jackson is 1578740023 and holds a License No. 0701004259 (Virginia).

The current practice location address for Nicole Jackson is 3630 George Washington Hwy, Yorktown, VA and can be reached out via phone at 757-768-6878.

Location: 3630 George Washington Hwy, Yorktown, VA, 23692-4358
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578740023
Provider Name
Nicole Jackson
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
3630 George Washington Hwy, Yorktown, VA, 23692-4358
Phone Number
757-768-6878
Fax Number
Provider Enumeration Date
01/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004945573 05 VA
institution
Provider Business Practice Location Address Details
Address
3630 George Washington Hwy
City
Yorktown
State
Virginia
Zip
23693
Phone Number
757-768-6878
Fax Number
person
Provider Business Mailing Address Details
Address
3630 George Washington Hwy
City
Yorktown
State
Virginia
Zip
23693
Phone Number
757-768-6878
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
0701004259 (Virginia)
Definition
Definition to come...
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