Individual
STEPHANIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
MSW
Contact information
Practice address
283 CONSTITUTION DR STE 600, VIRGINIA BEACH, VA 23462-6760
(757) 839-5250
Mailing address
321 E MAIN ST UNIT 2006, NORFOLK, VA 23510-1853
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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