DIANA JACKSON

Counselor - Mental Health

Active Individual
NPI: 1104506088

Practice Address

341 E G ST
Purcellville, VA 20132

Phone: (240) 446-9852

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes 0704013604 (VA)

Frequently Asked Questions

NPI 1104506088 is the National Provider Identifier for DIANA JACKSON, a Counselor - Mental Health provider located in Purcellville, VA. This NPI was enumerated on July 24, 2023.
DIANA JACKSON practices at 341 E G ST, Purcellville, VA 20132.

Quick Facts

NPI
1104506088
Type
Individual
Enumerated
Jul 24, 2023
Last Updated
Jul 24, 2023

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