Individual
MELISSA ANN JACKSON-WESTBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
10580 LIGON MILL RD STE 210, WAKE FOREST, NC 27587-6090
(919) 263-9592
Mailing address
1240 SAPPONY DR APT 205, KNIGHTDALE, NC 27545-6532
(757) 434-6599
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5468
NC
103TC0700X
Clinical Psychologist
5468
NC
Other
Enumeration date
12/17/2018
Last updated
01/23/2019
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