Individual provider · Type 1 NPI

Tracy M. Jackson

School Counselor · Stony Creek, VA

NPI number 1104652056 Active

Practice location

21302 Sussex Dr
Stony Creek, VA 23882-3751

Call (434) 246-2251 Map

Specialties and licenses

TaxonomyCodeLicense
School Counselor Primary 101YS0200XPPS-06000912 (VA)

School Counselor: Definition to come...

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About NPI 1104652056

Tracy M. Jackson's National Provider Identifier is 1104652056, issued on Sep 9, 2024. The primary taxonomy on file is School Counselor (101YS0200X), and the practice location is in Stony Creek, VA. The record was last updated on Sep 9, 2024.