Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DONALD WAYNE JACKSON, LPC
Active Sole ProprietorCase Manager · WOODBRIDGE, VA
Registration Details
- NPI Number
- 1366684839
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 30, 2009 (17.069737193523 yrs)
- Last Updated
- Mar 30, 2009
- License
-
171M00000X (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3434 MOUNT BURNSIDE WAYWOODBRIDGE, VA, 221921013Browse VA providers · Browse ZIP 22192
- Phone
- 7034908250
- Fax
- 7034908282
- Primary Specialty
-
Case Manager
171M00000X
Other Case Manager Providers in WOODBRIDGE, VA
| Name | Credential | NPI |
|---|---|---|
| MS. LEONA WILLIAMS THOMPSON | N/A | 1447436415 |
| MS. VAL MCCLAIN LEWIS | MA | 1598011884 |
| KALLEN CAMPBELL | — | 1104389808 |
| JOHNICA P FLOYD | — | 1134703770 |
| NOOR IMRAN | CCMA, CMAA,CPT | 1043886807 |
| MS. EUGENIA HALL MILLER | MSHS | 1104558279 |
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.