ANNIE JACKSON

CHARLOTTE, NC
NPI1831409374
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: NC  412)
Additional Taxonomies101YP1600X Counselor Pastoral
Enumeration Date2010-10-18
Last Update Date2010-10-18
Business Address
ANNIE JACKSON
4616 NORTHAVEN DR
CHARLOTTE, NC 28206-1730
Phone number: 704-597-8370
Mailing Address
ANNIE JACKSON
4616 NORTHAVEN DR
CHARLOTTE, NC 28206-1730
Phone number: