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1265258073
CERRIA JACKSON
LYNCHBURG, VA
NPI
1265258073
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0701011812)
Enumeration Date
2024-11-26
Last Update Date
2024-11-26
Business Address
CERRIA JACKSON LPC
693 LEESVILLE RD
LYNCHBURG, VA 24502-2828
Phone number: 434-200-5145
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Mailing Address
CERRIA JACKSON LPC
693 LEESVILLE RD
LYNCHBURG, VA 24502-2828
Phone number: 434-200-5145
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