Individual provider · Type 1 NPI

Patricia Katherine Jackson, LCMHC, NCC

Mental Health Counselor · Greensboro, NC

NPI number 1629565361 Active

Practice location

2311 W Cone Blvd Ste 234
Greensboro, NC 27408-4062

Call (336) 585-7012 Map

Mailing address

1301 Carolina St Ste 114
Greensboro, NC 27401-1090

Specialties and licenses

Taxonomy	Code	License
Professional Counselor	101YP2500X	A13613 (NC)
Mental Health Counselor Primary	101YM0800X	13613 (NC)

Mental Health Counselor: Definition to come...

Another provider at this address

Central Carolina Counseling Associates, PLLCMental Health Clinic/Center (Including Community Mental Health Center) Greensboro, NC NPI 1083283808

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About NPI 1629565361

Patricia Katherine Jackson, LCMHC, NCC's National Provider Identifier is 1629565361, issued on Apr 18, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Greensboro, NC. The record was last updated on Oct 19, 2021.