Individual provider · Type 1 NPI

Alexandrea J. Jackson, LPC

Professional Counselor · Petersburg, VA

NPI number 1053922518 Active

Practice location

350 Poplar Dr
Petersburg, VA 23805-9367

Call (804) 733-6874 Map

Fax (804) 518-1341

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0701009711 (VA)

Professional Counselor: Definition to come...

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About NPI 1053922518

Alexandrea J. Jackson, LPC's National Provider Identifier is 1053922518, issued on Aug 10, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Petersburg, VA. The record was last updated on Aug 11, 2020.