| Jerry Edwin Jackson Jr, LPC | |
|
3963 Market Street, Suite A, Wilmington, NC 28403 | |
| (910) 362-9474 | |
| (910) 362-9192 |
| Full Name | Jerry Edwin Jackson Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 3963 Market Street, Wilmington, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356423594 | NPI | - | NPPES |
| 6103285 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5109 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Edwin Jackson Jr, LPC 3963 Market Street, Suite A, Wilmington, NC 28403 Ph: (910) 362-9474 | Jerry Edwin Jackson Jr, LPC 3963 Market Street, Suite A, Wilmington, NC 28403 Ph: (910) 362-9474 |
Mrs. Makeba Sharice Shaw, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 Elisha Dr, Wilmington, NC 28405 Phone: 910-233-0355 Fax: 910-799-6263 | |
Mrs. Holly Cunningham, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3963 Market St, Suite A, Wilmington, NC 28403 Phone: 910-362-9474 Fax: 910-362-9192 | |
Kelly Nicole French, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 313 Walnut St Ste 101, Wilmington, NC 28401 Phone: 828-214-7870 | |
Erin Mace, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2425 S 17th St, Wilmington, NC 28401 Phone: 910-313-3232 | |
Kristin Hoffman, MA, LCAS, LCMHC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 705 Wooster St, Wilmington, NC 28401 Phone: 910-386-7378 | |
Kelly Kristine Rose, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1619 Grace St, Wilmington, NC 28401 Phone: 919-896-0214 | |
Emily Kohls, LCMHC-A, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3133 Wrightsville Ave, Wilmington, NC 28403 Phone: 910-742-0489 Fax: 910-726-3979 |