KATHERINE THOMPSON JACKSON M.DIV. NPI 1619412228

NPI Information

NPI: 1619412228
Provider Name: KATHERINE THOMPSON JACKSON, M.DIV.
Classification: Counselor - 101YP1600X
Entity Type: Individual

Specialization: Pastoral

Address:
1221 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA
ZIP 22908
Phone: (434) 924-2642
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Katherine Thompson Jackson, M.DIV. is a pastoral counselor in Charlottesville, VA. Katherine Thompson Jackson, M.DIV. NPI is 1619412228. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1221 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA
ZIP 22908-001
Phone: (434) 924-2642
Fax: (434) 924-1139

The enumeration date for this NPI number is 1/5/2017 and was last updated on 1/5/2017.

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
1	101YP1600X	Counselor	Pastoral		VIRGINIA	Yes
2	282NC0060X	General Acute Care Hospital	Critical Access			No

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: 4/28/2024

NPI Synchronization or Removal

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