Ann Patricia Jackson, LPC, NCC
Health Maintenance Organization in Elkin, NC. Individual provider (NPI-1).
NPI number1114101896
StatusActive
Last updated in NPPESDec 18, 2007
Details
- NPI
- 1114101896
- Entity type
- Individual (NPI-1)
- Name
- Ms. Ann Patricia Jackson
- Credential
- LPC, NCC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 18, 2007
- Last updated
- Dec 18, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | 4131 | NC | Yes |
Practice location
200 Elkin Business Park DrElkin, NC 28621-3159
Phone 336-835-1000 · Fax 336-835-1075
Mailing address
200 Elkin Business Park DrElkin, NC 28621-3159
Phone 336-835-1000 · Fax 336-835-1075
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