Individual provider · Type 1 NPI

John Mark Jackson, LPC

Professional Counselor · Charlotte, NC

NPI number 1104061993 Active

Practice location

501 Billingsley Road, Behavioral Health Center Cmc Randolph
Charlotte, NC 28211-1009

Fax (704) 358-2796

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X1066 (NC)

Professional Counselor: Definition to come...

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About NPI 1104061993

John Mark Jackson, LPC's National Provider Identifier is 1104061993, issued on Dec 8, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Charlotte, NC. The record was last updated on Dec 8, 2008.