Jackson, Donald Wayne

Jackson, Donald Wayne is an sole proprietor health care provider with primary practice located at 3434 Mount Burnside Way , Woodbridge VA 22192-1013. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Jackson, Donald Wayne can be contacted via phone (703) 490-8250.

Contact Information

Primary practice address
3434 Mount Burnside Way Woodbridge VA 22192-1013
Phone: (703) 490-8250
Fax: (703) 490-8282
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 171M00000X North Carolina

Profile Details

NPI number 1366684839
LBN Legal business name Jackson, Donald Wayne
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2009
Last updated Mar 30th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers