Individual
LAURA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA, LCASA
Contact information
Practice address
900 HENDERSONVILLE RD, SUITE 300, ASHEVILLE, NC 28803-1734
(828) 419-4488
Mailing address
8 PLEASANT RIDGE DR, ASHEVILLE, NC 28805-2623
(828) 551-0116
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-21949
NC
101YM0800X
Mental Health Counselor
A11482
NC
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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