Minna R Jackson, LPC
NPI #1013034362 in Blacksburg, Virginia
Provider Information
- NPI Number
- 1013034362
- Entity Type
- Individual
- Name
- Minna R Jackson, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPC
- Enumeration Date
- Mar 23, 2007
- Last Updated
- Mar 14, 2025
Practice Location
- Address
- 100 ARDMORE ST STE 304
- City
- Blacksburg
- State
- Virginia
- ZIP Code
- 24060-5802
- Phone
- (276) 613-4273
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Counselor - Professional — Professional |
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