Individual
KIMBERLY ANN JACKSON-LUZADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
6716 SIX FORKS RD, RALEIGH, NC 27615-6575
(919) 996-1276
Mailing address
PO BOX 590, RALEIGH, NC 27602-0590
(919) 996-1276
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178006189
IL
101YP2500X
Professional Counselor
Primary
8795
NC
Other
Enumeration date
09/21/2009
Last updated
02/20/2017
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