# ANGELIQUE ALEXANDRIA WILKES JACKSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1801791744
- **Gender:** F
- **Credential:** LPC, LAC, LPCC, LMHC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | C.2608359 | OH | Yes |
| 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