Individual
ALEXIS JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3900 W BROAD ST, RICHMOND, VA 23230-3914
(804) 353-4461
Mailing address
3900 W BROAD ST, RICHMOND, VA 23230-3914
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904019696
VA
Other
Enumeration date
01/02/2026
Last updated
01/02/2026
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