Individual provider · Type 1 NPI
Kimberly Ann Jackson-Luzader, LPC, NCC
Professional Counselor · Raleigh, NC
NPI number
1780918912
Active
Practice location
6716 Six Forks Rd
Raleigh, NC 27615-6575
Mailing address
PO Box 590
Raleigh, NC 27602-0590
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 178006189 (IL) |
| Professional Counselor Primary | 101YP2500X | 8795 (NC) |
Professional Counselor: Definition to come...
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About NPI 1780918912
Kimberly Ann Jackson-Luzader, LPC, NCC's National Provider Identifier is 1780918912, issued on Sep 21, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Raleigh, NC. The record was last updated on Feb 20, 2017.