ROBERT JACKSON

CHARLOTTE, NC
NPI1427678796
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  23517)
Enumeration Date2020-04-16
Last Update Date2020-06-09
Business Address
ROBERT JACKSON
615 E 6TH ST
CHARLOTTE, NC 28202-2918
Phone number: 980-999-5006
Mailing Address
ROBERT JACKSON
430 N HARDIN ST
SOUTHERN PINES, NC 28387-3139
Phone number: 704-258-6366
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