DONALD WAYNE JACKSON

WOODBRIDGE, VA
NPI1366684839
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: NC  171M00000X)
Enumeration Date2009-03-30
Last Update Date2009-03-30
Business Address
Mr. DONALD WAYNE JACKSON LPC
3434 MOUNT BURNSIDE WAY
WOODBRIDGE, VA 22192-1013
Phone number: 703-490-8250
Mailing Address
Mr. DONALD WAYNE JACKSON LPC
3434 MOUNT BURNSIDE WAY
WOODBRIDGE, VA 22192-1013
Phone number: 703-490-8250
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