MISS Tina Jackson, BS, MAED, L-QMHP A/C
NPI #1326753518 in Carrollton, Virginia
Provider Information
- NPI Number
- 1326753518
- Entity Type
- Individual
- Name
- MISS Tina Jackson, BS, MAED, L-QMHP A/C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- BS, MAED, L-QMHP A/C
- Enumeration Date
- Jan 23, 2023
- Last Updated
- Jan 23, 2023
Practice Location
- Address
- 150 SHELTER COVE WAY
- City
- Carrollton
- State
- Virginia
- ZIP Code
- 23314-4167
- Phone
- (757) 944-4010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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