Miss Tina Jackson, BS, MAED, L-QMHP A/C - Counselor in Carrollton, VA

Miss Tina Jackson, BS, MAED, L-QMHP A/C is a Counselor - Mental Health based in Carrollton, Virginia. Miss Tina Jackson is licensed to practice in Virginia (license number 0732006392) and her current practice location is 150 Shelter Cove Way, Carrollton, Virginia. She can be reached at her office (for appointments etc.) via phone at (757) 944-4010.

NPI number for Miss Tina Jackson is 1326753518 and her current mailing address is 150 Shelter Cove Way, Carrollton, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326753518.

Contact Information

Miss Tina Jackson, BS, MAED, L-QMHP A/C
150 Shelter Cove Way,
Carrollton, VA 23314-4167
(757) 944-4010
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMiss Tina Jackson
GenderFemale
SpecialityCounselor - Mental Health
Location150 Shelter Cove Way, Carrollton, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1326753518
  • Provider Enumeration Date: 01/23/2023
  • Last Update Date: 01/23/2023

Medical Identifiers

Medical identifiers for Miss Tina Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326753518NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 0732006392 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Tina Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Miss Tina Jackson, BS, MAED, L-QMHP A/C
150 Shelter Cove Way,
Carrollton, VA 23314-4167

Ph: (757) 944-4010
Miss Tina Jackson, BS, MAED, L-QMHP A/C
150 Shelter Cove Way,
Carrollton, VA 23314-4167

Ph: (757) 944-4010

Reviews and Comments


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