Individual
ERICA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
310 IRONHOUND DR, TROY, VA 22974-4368
(804) 489-8442
Mailing address
PO BOX 28202, RICHMOND, VA 23228-0202
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
02/21/2023
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