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Individual
ANGELIQUE ALEXANDRIA WILKES JACKSON
Active
Individual
ANGELIQUE ALEXANDRIA WILKES JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LAC, LPCC, LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2608359
OH
101YM0800X
Mental Health Counselor
LAC-24310
AZ
101YM0800X
Mental Health Counselor
LPCC.0025111
CO
101YM0800X
Mental Health Counselor
MCHA.MC.70155466
WA
Other
Enumeration date
10/12/2026
Last updated
10/12/2026
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