Individual
MS. KAREN MELISSA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2697 INTERNATIONAL PKWY, PARKWAY ONE, SUITE 104-1, VIRGINIA BEACH, VA 23452-7803
(757) 486-1143
(757) 486-1663
Mailing address
941 AVENUE G, NORFOLK, VA 23513-1709
(757) 286-2282
(757) 543-1644
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009862
VA
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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