Organization
CREATIVE CONCEPTS THERAPEUTIC SERVICES
Active
Other names
Aeshia Jackson
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AESHIA L. JACKSON MSW (PRESIDENT)
(910) 528-6172
Entity
Organization
Contact information
Practice address
100 PEAR ST, ABERDEEN, NC 28315-2924
(910) 528-6172
(910) 944-2417
Mailing address
PO BOX 3594, PINEHURST, NC 28374-3594
(910) 528-6172
(910) 944-2417
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P004034
NC
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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