Diana M Jackson
NPI #1104506088 in Purcellville, Virginia
Provider Information
- NPI Number
- 1104506088
- Entity Type
- Individual
- Name
- Diana M Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jul 24, 2023
- Last Updated
- Jul 24, 2023
Practice Location
- Address
- 341 E G ST
- City
- Purcellville
- State
- Virginia
- ZIP Code
- 20132-3326
- Phone
- (240) 446-9852
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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