Individual provider · Type 1 NPI
Tina Jackson, BS, MAED, L-QMHP A/C
Mental Health Counselor · Carrollton, VA
NPI number
1326753518
Active
Practice location
150 Shelter Cove Way
Carrollton, VA 23314-4167
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 0732006392 (VA) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Carrollton
About NPI 1326753518
Tina Jackson, BS, MAED, L-QMHP A/C's National Provider Identifier is 1326753518, issued on Jan 23, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Carrollton, VA. The record was last updated on Jan 23, 2023.