Search › Virginia › 101YM0800X
Tina Jackson, BS, MAED, L-QMHP A/C
NPI 1326753518 · on the registry since 2023 · sole proprietor
Practice
- Address
- 150 Shelter Cove Way
Carrollton, VA 23314 - Phone
- (757) 944-4010
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-01-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia