Individual
JENNIFER DAVIS JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
429 BILLINGSLEY RD, CHARLOTTE, NC 28211
(704) 445-6900
Mailing address
429 BILLINGSLEY RD, CHARLOTTE, NC 28211-1007
(704) 445-6900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/30/2007
Last updated
07/21/2022
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