1922761352 JACKSON PROFESSIONAL SERV LLC
Addiction (Substance Use Disorder) Counselor
Active
Basic Information
- Organization Name
- JACKSON PROFESSIONAL SERV LLC
- Enumeration Date
- October 21, 2021
- Last Update
- October 21, 2021
- Authorized Official
- ANTOINITA C STOKES
CONSULTANT
Phone: (804) 613-0087
Practice Location
- Address
- 420 PINE RIDGE RD
PETERSBURG, VA 238051320 - Phone
- (804) 714-5998
Mailing Address
- Address
- 420 PINE RIDGE RD
PETERSBURG, VA 238051320 - Phone
- N/A
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Mental Health Counselor Mental Health | 101YM0800X | Counselor | N/A | N/A | No |
| Community Health Worker | 172V00000X | Community Health Worker | N/A | N/A | No |
| Community/Behavioral Health Agency | 251S00000X | Community/Behavioral Health | N/A | N/A | No |
| Adolescent and Children Mental Health Clinic/Center Adolescent and Children Mental Health | 261QM0855X | Clinic/Center | N/A | N/A | No |
| Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) | 101YA0400X | Counselor | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0709024300 | 05 | VA | N/A |
| 0733006270 | 01 | VA | QMHP |
| 0733006270 | 05 | VA | N/A |
| 0709024300 | 01 | VA | SUBSTANCE ABUSE |
| 0732008263 | 01 | VA | QMHP ADULT |
Frequently Asked Questions
What is JACKSON PROFESSIONAL SERV LLC's NPI number?
JACKSON PROFESSIONAL SERV LLC's NPI number is 1922761352.
Which doctor has NPI number 1922761352?
The doctor with NPI number 1922761352 is JACKSON PROFESSIONAL SERV LLC.
What is JACKSON PROFESSIONAL SERV LLC's practice address?
JACKSON PROFESSIONAL SERV LLC's practice address is 420 PINE RIDGE RD, PETERSBURG, VA, 238051320.
Which doctor practices at 420 PINE RIDGE RD, PETERSBURG, VA, 238051320?
JACKSON PROFESSIONAL SERV LLC practices at 420 PINE RIDGE RD, PETERSBURG, VA, 238051320.
What is JACKSON PROFESSIONAL SERV LLC's phone number?
JACKSON PROFESSIONAL SERV LLC's phone number is (804) 714-5998.
Who is (804) 714-5998?
(804) 714-5998 is the phone number for JACKSON PROFESSIONAL SERV LLC.
What is JACKSON PROFESSIONAL SERV LLC's specialty?
JACKSON PROFESSIONAL SERV LLC's specialty is Addiction (Substance Use Disorder) Counselor.
What type of doctor is JACKSON PROFESSIONAL SERV LLC?
JACKSON PROFESSIONAL SERV LLC is a Addiction (Substance Use Disorder) Counselor.
Is JACKSON PROFESSIONAL SERV LLC a Addiction (Substance Use Disorder)?
Yes, JACKSON PROFESSIONAL SERV LLC is a Addiction (Substance Use Disorder).
Is JACKSON PROFESSIONAL SERV LLC still practicing?
Yes, JACKSON PROFESSIONAL SERV LLC is currently practicing.
Is JACKSON PROFESSIONAL SERV LLC accepting new patients?
JACKSON PROFESSIONAL SERV LLC may be accepting new patients. Please call their office at (804) 714-5998 to inquire about availability.
Is NPI 1922761352 still active?
Yes, NPI 1922761352 is currently active.
Where does JACKSON PROFESSIONAL SERV LLC practice?
JACKSON PROFESSIONAL SERV LLC practices in PETERSBURG, VA.