WINNIE FONG JACKSON

FORT LIBERTY, NC
NPI1467959759
Former NameWINNIE FONG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: NC  6345)
Additional Taxonomies103TC0700X Psychologist, Clinical
(Licence: VA  0810007677)
101YM0800X Counselor, Mental Health
(Licence: DC  PSYA00208)
Enumeration Date2018-04-12
Last Update Date2024-03-28
Business Address
WINNIE FONG JACKSON PsyD
2817 ROCK MERRITT AVE STOP A
FORT LIBERTY, NC 28310-2540
Phone number: 910-907-6825
Mailing Address
WINNIE FONG JACKSON PsyD
3113 GOLDEN NUGGET DR
CLAYTON, NC 27520-8052
Phone number: 510-908-2173