Individual
JESSE GENT LUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1020 E JEFFERSON ST, CHARLOTTESVILLE, VA 22902-5328
(720) 234-7549
Mailing address
2643 HEARTWOOD RD, AFTON, VA 22920-2039
(720) 234-7549
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005049
VA
Other
Enumeration date
07/20/2011
Last updated
04/27/2026
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