Jordan Jackson, MA, LCMHCA
Counselor, Mental Health in Angier, NC. Individual provider (NPI-1).
NPI number1194516682
StatusActive
Last updated in NPPESMay 14, 2025
Details
- NPI
- 1194516682
- Entity type
- Individual (NPI-1)
- Name
- Jordan Jackson
- Credential
- MA, LCMHCA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 14, 2025
- Certification date
- May 14, 2025
- Last updated
- May 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | A21381 | – | Yes |
| 101Y00000X | Counselor | A21381 | NC |
Practice location
800 N Raleigh StAngier, NC 27501-8613
Phone 910-489-6994
Mailing address
42 Saltwater CvClayton, NC 27520-3665
Phone 984-989-3566
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