Mindy R. Jackson, Lpc
NPI #1568037190 in Blacksburg, Virginia
Provider Information
- NPI Number
- 1568037190
- Entity Type
- Organization
- Organization Name
- Mindy R. Jackson, Lpc
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- May 25, 2021
- Last Updated
- Dec 28, 2025
Practice Location
- Address
- 1901 S MAIN ST STE 4A
- City
- Blacksburg
- State
- Virginia
- ZIP Code
- 24060-6628
- Phone
- (540) 820-4242
Authorized Official
- Name
- MINNA R JACKSON, LPC
- Title
- OWNER/MEMBER
- Phone
- (540) 820-4242
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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