Individual provider · Type 1 NPI
Keira Michelle Jackson
Mental Health Counselor · Manassas, VA
NPI number
1699249839
Active
Practice location
8601 Rose Mallow Dr Apt 415
Manassas, VA 20109-4025
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0710103585 (VA) |
| Mental Health Counselor Primary | 101YM0800X | 0704014248 (VA) |
Mental Health Counselor: Definition to come...
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About NPI 1699249839
Keira Michelle Jackson's National Provider Identifier is 1699249839, issued on Jan 21, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Manassas, VA. The record was last updated on Oct 14, 2022.