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Individual

ASHLEY N JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSWA

Contact information

Practice address
2020 REMOUNT RD STE W-107, GASTONIA, NC 28054-7476
(704) 963-8313
Mailing address
2020 REMOUNT RD STE W-107, GASTONIA, NC 28054-7476
(704) 963-8313

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P017436
NC

Other

Enumeration date
07/11/2022
Last updated
07/11/2022
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