Sandra Jean Jackson, MS,LPC
Counselor, Professional in Locust Grove, VA. Individual provider (NPI-1).
NPI number1104771971
StatusActive
Last updated in NPPESFeb 26, 2026
Details
- NPI
- 1104771971
- Entity type
- Individual (NPI-1)
- Name
- Sandra Jean Jackson
- Credential
- MS,LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 26, 2026
- Certification date
- Feb 26, 2026
- Last updated
- Feb 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 0701007814 | VA | Yes |
Practice location
35060 Rogers WayLocust Grove, VA 22508-5404
Phone 703-987-8351
Mailing address
35060 Rogers WayLocust Grove, VA 22508-5404
Phone 703-987-8351
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