Individual
KATHERINE THOMPSON JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.DIV.
Contact information
Practice address
1221 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 22908-0001
(434) 924-2642
(434) 924-1139
Mailing address
1221 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 22908-0001
(434) 924-2642
(434) 924-1139
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
VA
282NC0060X
Critical Access Hospital
—
—
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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