SANDRA JEAN JACKSON MSLPC NPI 1104771971

NPI Information

  • NPI: 1104771971
  • Provider Name: SANDRA JEAN JACKSON, MS,LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 35060 ROGERS WAY
    LOCUST GROVE, VA
    ZIP 22508
  • Phone: (703) 987-8351

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NPI Details

Sandra Jean Jackson, MS,LPC is a professional counselor in Locust Grove, VA. Sandra Jean Jackson, MS,LPC NPI is 1104771971. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

35060 ROGERS WAY
LOCUST GROVE, VA
ZIP 22508-404
Phone: (703) 987-8351

The enumeration date for this NPI number is 2/26/2026 and was last updated on 2/26/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional0701007814VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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