Individual
BETH JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, M.ED.
Contact information
Practice address
8270 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4530
(703) 937-1752
Mailing address
8270 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4530
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
PGP-355170
VA
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
04/16/2026
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