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1205158730
JONATHAN L JACKSON
LEXINGTON, NC
NPI
1205158730
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC 9641)
Enumeration Date
2010-02-25
Last Update Date
2022-07-21
Business Address
-- JONATHAN L JACKSON LPC
1104A S MAIN ST
LEXINGTON, NC 27292-3134
Phone number: 336-252-2450
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Mailing Address
-- JONATHAN L JACKSON LPC
284 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025-1833
Phone number: 704-939-1100
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