Individual
MRS. MARSHE MARIE MILBOURNE-JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2101 EXECUTIVE DR, SUITE 5C, BOX19, HAMPTON, VA 23666-2404
(757) 827-7707
(757) 838-2573
Mailing address
3829 HEADWIND LN, PORTSMOUTH, VA 23703-5391
(757) 686-3190
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004014
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701004014
LPC
VA
Enumeration date
08/15/2006
Last updated
07/08/2007
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