Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katherine Thompson Jackson, MDIV

Individual provider Pastoral Counselor · NPI 1619412228

Katherine Thompson Jackson, MDIV is a Pastoral Counselor in Charlottesville, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1221 Jefferson Park Ave
Charlottesville, VA 22908-0001
Phone: (434) 924-2642
Fax: (434) 924-1139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pastoral Counselor (primary) Taxonomy 101YP1600X (VA)
Critical Access Hospital Taxonomy 282NC0060X

Record details

NPI number1619412228
Entity typeIndividual (Type 1)
GenderFemale
Credentials MDIV
Sole proprietorYes
NPI enumeratedJanuary 5, 2017
Last updated in NPPESJanuary 5, 2017

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