| Aeshia Jackson | |
|
100 Pear St Aberdeen NC 28315-2924 | |
| (910) 528-6172 | |
| (910) 944-2417 |
| Full Name | Aeshia Jackson |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 100 Pear St, Aberdeen, North Carolina |
| Authorized Official Name and Position | Aeshia L. Jackson (PRESIDENT) |
| Authorized Official Contact | 9105286172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aeshia Jackson Po Box 3594 Pinehurst NC 28374-3594 Ph: (910) 528-6172 | Aeshia Jackson 100 Pear St Aberdeen NC 28315-2924 Ph: (910) 528-6172 |
| NPI Number | 1003142761 |
|---|---|
| Provider Enumeration Date | 10/29/2009 |
| Last Update Date | 10/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003142761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | P004034 (North Carolina) | Primary |
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