Individual provider · Type 1 NPI

Winnie Fong Jackson, PSYD

Clinical Psychologist · Fort Bragg, NC

NPI number 1467959759 Active

Practice location

2817 Rock Merritt Ave
Fort Bragg, NC 28310-2540

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700X0810007677 (VA)
Mental Health Counselor 101YM0800XPSYA00208 (DC)
Clinical Psychologist Primary 103TC0700X6345 (NC)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1467959759

Winnie Fong Jackson, PSYD's National Provider Identifier is 1467959759, issued on Apr 12, 2018. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Fort Bragg, NC. The record was last updated on May 15, 2025.