Organization
ANCHOR COUNSELING AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE L. JACKSON LPC (CEO)
(757) 768-6878
Entity
Organization
Contact information
Practice address
3630 GEORGE WASHINGTON HIGHWAY, SUITE B-6, YORKTOWN, VA 23693
(757) 768-6878
Mailing address
3630 GEORGE WASHINGTON HIGHWAY, SUITE B-6, YORKTOWN, VA 23693
(757) 768-6878
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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