person
Ms. Tommie S. Jackson
Professional Counselor in Winston Salem, North Carolina
NPI 1093754673

Tommie S. Jackson is a Professional Counselor based in Winston Salem, NC and is specialized in Professional. Tommie S. Jackson practices in Winston Salem, NC. The NPI Number for Tommie S. Jackson is 1093754673 and holds a License No. 925 (North Carolina).

The current practice location address for Tommie S. Jackson is 453 W End Blvd, Winston Salem, NC and can be reached out via phone at 336-750-0130 and via fax at 336-750-0073. You can also correspond with Tommie S. Jackson through the mailing address at 453 W END BLVD, WINSTON SALEM, NC - 27101-1120 (mailing address contact number: 336-750-0130).

Location: 453 W End Blvd, Winston Salem, NC, 27101-1120
person
Provider Profile Details
NPI Number
1093754673
Provider Name
Tommie S. Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
453 W End Blvd, Winston Salem, NC, 27101-1120
Phone Number
336-750-0130
Fax Number
336-750-0073
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
453 W End Blvd
City
State
Zip
27101-1120
Phone Number
336-750-0130
Fax Number
336-750-0073
person
Provider Business Mailing Address Details
Address
453 W End Blvd
City
State
Zip
27101-1120
Phone Number
336-750-0130
Fax Number
336-750-0073
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
925 (North Carolina)
Definition
Definition to come...
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