LEESA JACKSON

CLARKSBURG, WV
NPI1194257691
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WV  2174)
Enumeration Date2017-04-03
Last Update Date2017-10-20
Business Address
LEESA JACKSON MA, NCC, LPC
3 HOSPITAL PLZ
CLARKSBURG, WV 26301-9316
Phone number: 304-969-3100
Mailing Address
LEESA JACKSON MA, NCC, LPC
3 HOSPITAL PLAZA
CLARKSBURG, WV 26301-1967
Phone number:
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