Individual
CERRIA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
693 LEESVILLE RD, LYNCHBURG, VA 24502-2828
(434) 200-5145
Mailing address
693 LEESVILLE RD, LYNCHBURG, VA 24502-2828
(434) 200-5145
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701011812
VA
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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