Individual
MS. JULIE R JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., NCC, LPCA
Contact information
Practice address
7810 PRINEVILLE-MATHEWS ROAD, CHARLOTTE, NC 28226
(704) 877-8663
Mailing address
2294 HANOVER CT, FORT MILL, SC 29707-6486
(704) 877-8663
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A12451
NC
Other
Enumeration date
09/01/2016
Last updated
04/12/2017
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