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Mrs. Katherine Jackson, MA,LMFTA
Counselor in Raleigh, North Carolina
NPI 1265144000

Katherine Jackson is a Counselor based in Raleigh, NC. Katherine Jackson practices in Raleigh, NC and has the professional credentials of MA,LMFTA. The NPI Number for Katherine Jackson is 1265144000 and holds a License No. 12495A (North Carolina).

The current practice location address for Katherine Jackson is 6604 Six Forks Rd, Raleigh, NC and can be reached out via phone at 919-725-8086.

Location: 6604 Six Forks Rd, Raleigh, NC, 27614-8928
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265144000
Provider Name
Katherine Jackson
Credential
MA,LMFTA
Provider Entity Type
Individual
Gender
Female
Address
6604 Six Forks Rd, Raleigh, NC, 27614-8928
Phone Number
919-725-8086
Fax Number
Provider Enumeration Date
12/22/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12495A 01 NC LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
6604 Six Forks Rd
City
Raleigh
State
North Carolina
Zip
27615-6521
Phone Number
919-725-8086
Fax Number
person
Provider Business Mailing Address Details
Address
6604 Six Forks Rd
City
Raleigh
State
North Carolina
Zip
27615-6521
Phone Number
919-725-8086
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
12495A (North Carolina)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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