Individual provider · Type 1 NPI

Amore Nichole Jackson

Developmental Therapist · Charlotte, NC

NPI number 1174178024 Active

Practice location

6120 Brookshire Blvd Ste W
Charlotte, NC 28216-3300

Call (980) 251-5899 Map

Mailing address

1962 Hartford Dr
Gastonia, NC 28052-6050

Other practice locations

  • 1055 E Colorado Blvd Ste 560, Pasadena, CA 91106-2380 · (818) 241-6780

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Behavior Technician 106S00000XNone listed
Pharmacy Technician 183700000XNone listed
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1174178024

Amore Nichole Jackson's National Provider Identifier is 1174178024, issued on Aug 7, 2019. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Charlotte, NC. The record was last updated on Dec 12, 2023.