Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANA M JACKSON
Active Sole ProprietorDIANA M JACKSON is a Mental Health Counselor healthcare provider located in PURCELLVILLE, Virginia. NPI 1104506088 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · PURCELLVILLE, VA
Registration Details
- NPI Number
- 1104506088
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 24, 2023 (2.8773257977155 yrs)
- Last Updated
- Jul 24, 2023
- License
-
0704013604 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
341 E G STPURCELLVILLE, VA, 201323326Browse VA providers · Browse ZIP 20132
- Phone
- 2404469852
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in PURCELLVILLE, VA
| Name | Credential | NPI |
|---|---|---|
| MR. STEVEN IRA SOLOW | LPC | 1821100306 |
| DEBRA BABARSKY | M.A., L.P.C. | 1255540944 |
| MRS. KAREN BRUECKEN-THODEN | RESIDENT | 1871118562 |
| CASEY GRAGG | — | 1619695525 |
| DARCY BARRETT | — | 1003535584 |
| MEGAN MARIE MONOS | — | 1902522311 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.