Individual provider · Type 1 NPI

Diana M. Jackson

Mental Health Counselor · Purcellville, VA

NPI number 1104506088 Active

Practice location

341 E G St
Purcellville, VA 20132-3326

Call (240) 446-9852 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0704013604 (VA)

Mental Health Counselor: Definition to come...

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About NPI 1104506088

Diana M. Jackson's National Provider Identifier is 1104506088, issued on Jul 24, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Purcellville, VA. The record was last updated on Jul 24, 2023.