Individual
HILLARY ELIZABETH JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
356 WALNUT AVE SW APT A, ROANOKE, VA 24016-4624
(904) 610-1416
Mailing address
356 WALNUT AVE SW APT A, ROANOKE, VA 24016-4624
(904) 610-1416
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
VA
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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