Jackson, Lacrezia

Jackson, Lacrezia is an individual health care provider with primary practice located at 7025 Harbour View Blvd Ste 119 , Suffolk VA 23435-2762. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jackson, Lacrezia can be contacted via phone (757) 966-2805.

Contact Information

Primary practice address
7025 Harbour View Blvd Ste 119 Suffolk VA 23435-2762
Phone: (757) 966-2805
Fax: (757) 673-6135
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904010568 Virginia

Profile Details

NPI number 1700364908
LBN Legal business name Jackson, Lacrezia
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2018
Last updated Jul 31st, 2018 - about 8 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