Individual provider · Type 1 NPI

Jackson Thomas Streitwieser, LCAS, LCMHC-A

Professional Counselor · Greensboro, NC

NPI number 1124783253 Active

Practice location

315 E Washington St
Greensboro, NC 27401-2911

Call (336) 387-6161 Map

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice locations

  • 3300 Battleground Ave Ste 304, Greensboro, NC 27410-2491 · (336) 285-7173

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLCAS-26174 (NC)
Professional Counselor Primary 101YP2500XA17081 (NC)

Professional Counselor: Definition to come...

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About NPI 1124783253

Jackson Thomas Streitwieser, LCAS, LCMHC-A's National Provider Identifier is 1124783253, issued on Nov 3, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Greensboro, NC. The record was last updated on Aug 19, 2024.