Individual
ISIAH JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHCA
Contact information
Practice address
105 MAPLE CIR APT H, BELMONT, NC 28012-2687
(704) 524-1236
Mailing address
105 MAPLE CIR APT H, BELMONT, NC 28012-2687
(704) 524-1236
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A22622
NC
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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