Individual provider · Type 1 NPI
Robin Joelle Jackson, LPC
Professional Counselor · Manassas, VA
NPI number
1104414937
Active
Practice location
7969 Ashton Ave
Manassas, VA 20109-2885
Fax (703) 792-5699
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 0701010156 (VA) |
Professional Counselor: Definition to come...
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About NPI 1104414937
Robin Joelle Jackson, LPC's National Provider Identifier is 1104414937, issued on Jan 7, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Manassas, VA. The record was last updated on Jan 7, 2021.