Individual
KATHRYN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1520 W MAIN ST STE 202, RICHMOND, VA 23220-4687
(804) 833-8747
Mailing address
1520 W MAIN ST STE 202, RICHMOND, VA 23220-4687
(804) 592-6123
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945182
—
VA
Enumeration date
06/25/2007
Last updated
09/11/2025
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