Individual provider · Type 1 NPI

Precious Tanyanika Lajoy Jackson, LPC

Mental Health Counselor · Gastonia, NC

NPI number 1295051084 Active

Practice location

1558 Union Rd Ste F
Gastonia, NC 28054-2215

Call (704) 671-2609 Map

Fax (704) 671-4036

Mailing address

1509 Davis Park Rd
Gastonia, NC 28052-5065

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X7563 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1295051084

Precious Tanyanika Lajoy Jackson, LPC's National Provider Identifier is 1295051084, issued on Apr 19, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gastonia, NC. The record was last updated on Mar 26, 2018.