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Individual

JAZMYN BELL-JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS.ED, BCBA LBA, LPC

Contact information

Practice address
6800 PARAGON PL STE 200, RICHMOND, VA 23230-1652
(703) 507-5069
Mailing address
518 MADISON ST, PORTSMOUTH, VA 23704-6722
(703) 507-5069

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701012987
VA
103K00000X
Behavior Analyst
Primary
0133003189
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1194996280
VA
Enumeration date
12/29/2018
Last updated
04/07/2025
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