Organization · Type 2 NPI

Mindy R. Jackson, LPC

Professional Counselor · Blacksburg, VA

NPI number 1568037190 Active

Practice location

1901 S Main St Ste 4A
Blacksburg, VA 24060-6628

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1568037190

Mindy R. Jackson, LPC's National Provider Identifier is 1568037190, issued on May 25, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Blacksburg, VA. The record was last updated on Dec 28, 2025.