Individual provider · Type 1 NPI

Monique Dashelle Jackson, NCC, LCMHC-A, LCAS-A

Mental Health Counselor · Fayetteville, NC

NPI number 1952907321 Active

Practice location

6885 Cliffdale Rd Ste 202
Fayetteville, NC 28314-2834

Call (910) 339-0400 Map

Mailing address

835 Beuer Dr
Fayetteville, NC 28314-5192

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1952907321

Monique Dashelle Jackson, NCC, LCMHC-A, LCAS-A's National Provider Identifier is 1952907321, issued on Dec 10, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fayetteville, NC. The record was last updated on Sep 18, 2021.