COURTENAY JACKSON

ROANOKE, VA
NPI1497335673
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904012714)
Enumeration Date2021-04-12
Last Update Date2021-04-12
Business Address
-- COURTENAY JACKSON LCSW
1315 FRANKLIN RD SW
ROANOKE, VA 24016-4607
Phone number: 540-981-1102
Mailing Address
-- COURTENAY JACKSON LCSW
301 ELM AVE SW
ROANOKE, VA 24016-4001
Phone number:
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