Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KESHIA JACKSON
Active Sole ProprietorKESHIA JACKSON is a Behavioral Health, Residential healthcare provider located in CONCORD, Virginia. NPI 1598336042 is currently active in the NPPES registry. Verify at CMS.
Behavioral Health, Residential · CONCORD, VA
Registration Details
- NPI Number
- 1598336042
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 6, 2021 (5.1114282879231 yrs)
- Last Updated
- Jun 13, 2023
- License
-
RBT-21-160304 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
680 COLUMBUS RDCONCORD, VA, 245383683Browse VA providers · Browse ZIP 24538
- Phone
- 4344209957
- Primary Specialty
-
Behavioral Health, Residential
251C00000X
- Additional Specialty
- Behavioral Health, Residential
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.