Search › Virginia › 1041C0700X
Lisa Jackson-Wardlaw, LCSW
NPI 1427404599 · on the registry since 2016 · sole proprietor
Practice
- Address
- 13503 Lee Jackson Memorial Hwy
Chantilly, VA 20151 - Phone
- (571) 730-7743
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
1041C0700X - Licence states on file
- LA, OR, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia