Individual provider · Type 1 NPI

Jackson Lang, LCMHCA

Mental Health Counselor · Charlotte, NC

NPI number 1225923824 Active

Practice location

447 S Sharon Amity Rd Ste 250
Charlotte, NC 28211-2850

Mailing address

327 S Bruns Ave
Charlotte, NC 28208-4309

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA21399 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1225923824

Jackson Lang, LCMHCA's National Provider Identifier is 1225923824, issued on Jun 12, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charlotte, NC. The record was last updated on Jun 12, 2025.