Brian K. Jackson LCSW, LCAS

NPI 1205143476 - Counselor - 101Y00000X

NPI Details
NPI 1205143476
Gender Male
Enumeration Date 09/08/2010
Last Updated 08/02/2013
Entity Type Individual
Active Over 6 years ago
Practice Location
284 EXECUTIVE PARK DR
SUITE 100
CONCORD NC, 28025-1894, US
Phone (704) 939-1118
Fax
Business Location
284 EXECUTIVE PARK DR
SUITE 100
CONCORD NC, 28025-1894, US
Phone (704) 939-1118
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
Remove 1205143476 NPI Number
 

According to our database, Brian K. Jackson LCSW, LCAS NPI is 1205143476, taxonomy code is 101Y00000X Brian K. Jackson LCSW, LCAS physically located at 284 Executive Park Dr, Concord NC, 28025-1894. NPI Number Brian K. Jackson LCSW, LCAS has the Individual type.

Sponsored links

1205143476 NPI number is provided on an as is basis without warranty of any kind. 1205143476 is maintained by the National Plan & Provider Enumeration System. The contents of Brian K. Jackson LCSW, LCAS are for informational purposes only.