Individual
MRS. CANDICE EPPS JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS EDS
Contact information
Practice address
1104 S MAIN ST STE A, LEXINGTON, NC 27292-3134
(704) 939-1100
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
A10851
NC
Other
Enumeration date
12/18/2013
Last updated
12/03/2019
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