JERRONTAY JACKSON

LEESBURG, VA
NPI1891305736
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0906017686)
Enumeration Date2020-08-05
Last Update Date2026-06-17
Business Address
JERRONTAY JACKSON LMSW
199 LIBERTY ST SW
LEESBURG, VA 20175-2715
Phone number: 804-207-6737
Mailing Address
JERRONTAY JACKSON LMSW
200 N 22ND ST
RICHMOND, VA 23223-7020
Phone number: 804-644-9590
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