Individual provider · Type 1 NPI

Jordan Jackson, MA, LCMHCA

Mental Health Counselor · Angier, NC

NPI number 1194516682 Active

Practice location

800 N Raleigh St
Angier, NC 27501-8613

Call (910) 489-6994 Map

Mailing address

42 Saltwater Cv
Clayton, NC 27520-3665

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XA21381 (NC)
Mental Health Counselor Primary 101YM0800XA21381

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About NPI 1194516682

Jordan Jackson, MA, LCMHCA's National Provider Identifier is 1194516682, issued on May 14, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Angier, NC. The record was last updated on May 14, 2025.