Minna R Jackson in Blacksburg - Mental Health
Minna R Jackson - NPI 1013034362
Minna R Jackson is a Mental Health in Blacksburg, Virginia. Minna R Jackson practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Minna R Jackson is 1013034362. The last update date is 2023-10-11.
Minna R Jackson's current location address is 201 Mateer Cir, Blacksburg, Virginia. You can contact this provider via phone number 2766134273. The mailing address for Minna R Jackson is 201 Mateer Cir, Blacksburg, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Minna R Jackson |
|---|---|
| Address | 201 Mateer Cir, Blacksburg, Virginia |
| Phone Number | 2766134273 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1013034362 |
|---|---|
| Provider Enumeration Date | 2007-03-23 |
| Last Updated Date | 2023-10-11 |
Provider Mailing Address Detail
| Address | 201 Mateer Cir |
|---|---|
| City | Blacksburg |
| State | Virginia (VA) |
| Post Code | 240605555 |
| Phone Number | 2766134273 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 701003660 |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4945298 | VA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Minna R Jackson by the Centers for Medicare & Medicaid Services (CMS)?
The Minna R Jackson has been assigned the NPI (National Provider Identifier) 1013034362. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Minna R Jackson is located?
The Minna R Jackson is situated at the following address: 201 Mateer Cir, Blacksburg, VA, 240605555.
What is the Minna R Jackson's specialty and taxonomy code?
The Minna R Jackson's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
On what date did the Minna R Jackson receive its 1013034362 assignment from the Centers for Medicare & Medicaid Services?
The Minna R Jackson was assigned its 1013034362 by the Centers for Medicare & Medicaid Services on 2007-03-23.
When was the Minna R Jackson's information last updated?
The Minna R Jackson's information was last updated on 2023-10-11.