| Mrs Tracy M Jackson, | |
|
21302 Sussex Dr, Stony Creek, VA 23882-3751 | |
| (434) 246-2251 | |
| Not Available |
| Full Name | Mrs Tracy M Jackson |
|---|---|
| Gender | Female |
| Speciality | Counselor - School |
| Location | 21302 Sussex Dr, Stony Creek, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104652056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YS0200X | Counselor - School | PPS-06000912 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tracy M Jackson, 21302 Sussex Dr, Stony Creek, VA 23882-3751 Ph: (434) 246-2251 | Mrs Tracy M Jackson, 21302 Sussex Dr, Stony Creek, VA 23882-3751 Ph: (434) 246-2251 |
Ciera Leflore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 21302 Sussex Dr, Stony Creek, VA 23882 Phone: 434-246-4022 | |
Karen King, Counselor Medicare: Not Enrolled in Medicare Practice Location: 21356 Sussex Dr, Stony Creek, VA 23882 Phone: 434-246-2251 | |
Dante Bowles, Counselor Medicare: Not Enrolled in Medicare Practice Location: 21394 Sussex Dr, Stony Creek, VA 23882 Phone: -- | |
Ms. Gwendolyn Parham Lewis, LMPC-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 14422 Hunting Quarter Church Rd, Stony Creek, VA 23882 Phone: 434-594-8365 |