Jerry Edwin Jackson, LPC is a professional counselor in Wilmington, NC. Jerry Edwin Jackson, LPC NPI is 1356423594. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3963 MARKET STREET
SUITE A
WILMINGTON, NC
ZIP 28403
Phone: (910) 362-9474
Fax: (910) 362-9192
The enumeration date for this NPI number is 10/19/2006 and was last updated on 7/9/2007.