Individual provider · Type 1 NPI

Tiffany Marie Jackson

Professional Counselor · Lynchburg, VA

NPI number 1205400397 Active

Practice location

20566 Timberlake Rd Ste A
Lynchburg, VA 24502-7221

Call (434) 239-4400 Map

Mailing address

198 Ellen Dr
Evington, VA 24550-3587

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1205400397

Tiffany Marie Jackson's National Provider Identifier is 1205400397, issued on May 13, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lynchburg, VA. The record was last updated on Jan 18, 2023.