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Individual

MRS. LINDA M JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA ED, LPC

Contact information

Practice address
417 IPOCK ST, VANCEBORO, NC 28586-7996
(252) 670-8522
Mailing address
417 IPOCK ST, VANCEBORO, NC 28586-7996
(252) 670-8522

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3131
NC

Other

Enumeration date
10/26/2006
Last updated
08/03/2020
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