Individual provider · Type 1 NPI

Mario Jackson

Mental Health Counselor · Monroe, NC

NPI number 1689479412 Active

Practice location

4831 Old Charlotte Hwy Ste A
Monroe, NC 28110-6300

Call (704) 575-2142 Map

Mailing address

1736 Dickerson Blvd Ste F
Monroe, NC 28110-2833

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X230958 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1689479412

Mario Jackson's National Provider Identifier is 1689479412, issued on Feb 17, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Monroe, NC. The record was last updated on Feb 17, 2025.