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1104061993
JOHN MARK JACKSON
CHARLOTTE, NC
NPI
1104061993
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC 1066)
Enumeration Date
2008-12-08
Last Update Date
2008-12-08
Business Address
-- JOHN MARK JACKSON LPC
501 BILLINGSLEY ROAD BEHAVIORAL HEALTH CENTER CMC RANDOLPH
CHARLOTTE, NC 28211-1009
Phone number: 704-358-2700
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Mailing Address
-- JOHN MARK JACKSON LPC
501 BILLINGSLEY ROAD BEHAVIORAL HEALTH CENTER CMC RANDOLPH
CHARLOTTE, NC 28211-1009
Phone number: 704-358-2710
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