Individual
MRS. JOLITA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCS, L CAS, CCS
Contact information
Practice address
33 E MAIN ST STE 5, FRANKLIN, NC 28734-3059
(828) 524-6390
Mailing address
33 E MAIN ST STE 5, FRANKLIN, NC 28734-3059
(828) 524-6390
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3199
NC
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102469
—
NC
Enumeration date
06/19/2007
Last updated
01/18/2018
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