Diana M Jackson
Diana M Jackson is a Mental Health Counselor in Purcellville, Virginia. Practices as a sole proprietor. Licensed in Virginia.
- Licensed in
- VA
- In the registry since
- 2023
Practice location Address checks out
341 E G StPurcellville, VA 20132-3326
Phone: (240) 446-9852
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 0704013604 (VA) |
|---|
Record details
| NPI number | 1104506088 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 24, 2023 |
| Last updated in NPPES | July 24, 2023 |
| Certification date | July 24, 2023 |
| Mailing address | 341 E G St, Purcellville, VA 20132-3326 |
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