Individual provider · Type 1 NPI

Jennifer Jackson, LCSW-A/LCAS-A

Mental Health Counselor · Raleigh, NC

NPI number 1366866469 Active

Practice location

2101 Garner Rd
Raleigh, NC 27610-4687

Call (919) 832-7351 Map

Fax (919) 571-2932

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X3468-A (NC)
Mental Health Counselor Primary 101YM0800XP008214 (NC)

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About NPI 1366866469

Jennifer Jackson, LCSW-A/LCAS-A's National Provider Identifier is 1366866469, issued on Feb 10, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Raleigh, NC. The record was last updated on Feb 10, 2014.