Individual
LARI MEEKER JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
832 LAUREL GARDEN WAY, CARY, NC 27513-2046
(984) 214-8762
(984) 220-9379
Mailing address
4030 WAKE FOREST RD STE 349, RALEIGH, NC 27609-0010
(984) 214-8762
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3443
NC
Other
Enumeration date
05/27/2020
Last updated
06/17/2020
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