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1578740023
NICOLE JACKSON
YORKTOWN, VA
NPI
1578740023
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701004259)
Enumeration Date
2008-01-28
Last Update Date
2020-06-16
Business Address
NICOLE JACKSON LPC
3630 GEORGE WASHINGTON HWY STE B-6
YORKTOWN, VA 23693
Phone number: 757-768-6878
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Mailing Address
NICOLE JACKSON LPC
200 MALLARD LN
YORKTOWN, VA 23692-4358
Phone number: 757-768-6878
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