person
Keira Michelle Jackson
Mental Health Counselor in Manassas, Virginia
NPI 1699249839

Keira Michelle Jackson is a Mental Health Counselor based in Manassas, VA and is specialized in Mental Health. Keira Michelle Jackson practices in Manassas, VA. The NPI Number for Keira Michelle Jackson is 1699249839 and holds a License No. 0710103585 (Virginia).

The current practice location address for Keira Michelle Jackson is 8601 Rose Mallow Dr Apt 415, Manassas, VA and can be reached out via phone at 757-232-9100.

Location: 8601 Rose Mallow Dr Apt 415, Manassas, VA, 20109-4025
person
Provider Profile Details
NPI Number
1699249839
Provider Name
Keira Michelle Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
8601 Rose Mallow Dr Apt 415, Manassas, VA, 20109-4025
Phone Number
757-232-9100
Fax Number
Provider Enumeration Date
01/21/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8601 Rose Mallow Dr Apt 415
City
State
Zip
20109-4025
Phone Number
757-232-9100
Fax Number
person
Provider Business Mailing Address Details
Address
8601 Rose Mallow Dr Apt 415
City
State
Zip
20109-4025
Phone Number
757-232-9100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0704014248 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0710103585 (Virginia)
Definition
Definition to come...
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