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

JACKSON PROFESSIONAL SERV LLC

Active Organization

JACKSON PROFESSIONAL SERV LLC is a Addiction (Substance Use Disorder) Counselor organization located in PETERSBURG, Virginia. NPI 1922761352 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · PETERSBURG, VA

Registration Details

NPI Number
1922761352
Provider Type
Organization
NPI Issued
Oct 21, 2021 (4.8002813900378 yrs)
Last Updated
Oct 21, 2021

Practice Information

Address
420 PINE RIDGE RD
PETERSBURG, VA, 238051320
Browse VA providers · Browse ZIP 23805
Phone
8047145998
Additional Specialty
Community Health Worker
Additional Specialty
Community/Behavioral Health

Other Addiction (Substance Use Disorder) Counselor Organizations in PETERSBURG, VA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.