Search › Virginia › 1041C0700X
Shana Jackson, LCSW
NPI 1639552094 · on the registry since 2015
Practice
- Address
- 3517 Brandon Ave Sw
Roanoke, VA 24018 - Phone
- (540) 981-1102
- Clinicians at this address
- 18
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-05-03
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