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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JUSTIN JACKSON, LPC

Active

JUSTIN JACKSON, LPC is a Professional Counselor healthcare provider located in GLEN ALLEN, Virginia. NPI 1235788902 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · GLEN ALLEN, VA

Registration Details

NPI Number
1235788902
Provider Type
Individual
Gender
Male
NPI Issued
Sep 5, 2019 (6.9224865455449 yrs)
Last Updated
Aug 20, 2021
Licenses
0701008565 (VA)
0701008565 (VA)
0701008565 (VA)
0701008565 (VA)

Practice Information

Address
4212 PARK PLACE CT
GLEN ALLEN, VA, 230603314
Browse VA providers · Browse ZIP 23060
Phone
8043325950
Fax
8047281086
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Mental Health Counselor
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in GLEN ALLEN, VA

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.