Individual provider · Type 1 NPI
Tommie S. Jackson
Professional Counselor · Winston Salem, NC
NPI number
1093754673
Active
Practice location
453 W End Blvd
Winston Salem, NC 27101-1120
Fax (336) 750-0073
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 925 (NC) |
Professional Counselor: Definition to come...
2 other providers at this address
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- Roger W. Merritt, BE, LPCProfessional Counselor Winston Salem, NC NPI 1023203783
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About NPI 1093754673
Tommie S. Jackson's National Provider Identifier is 1093754673, issued on Jun 6, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Winston Salem, NC. The record was last updated on Jul 8, 2009.