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1255727137
VICKIE JACKSON
RICHMOND, VA
NPI
1255727137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701005502)
Enumeration Date
2015-04-08
Last Update Date
2015-04-08
Business Address
-- VICKIE JACKSON LPC
3900 CHAMBERLAYNE AVE
RICHMOND, VA 23227-4202
Phone number: 804-683-9009
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Mailing Address
-- VICKIE JACKSON LPC
3900 CHAMBERLAYNE AVE
RICHMOND, VA 23227-4202
Phone number: 804-683-9009
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