Organization
JESSE LUCKETT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE LUCKETT (OWNER)
(720) 234-7549
Entity
Organization
Contact information
Practice address
2643 HEARTWOOD RD, AFTON, VA 22920-2039
(720) 234-7549
Mailing address
1020 E JEFFERSON ST, CHARLOTTESVILLE, VA 22902-5328
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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