KIMBERLY HAMILTON JACKSON M.A. LPC
NPI 1124222955
Counselor - Professional in Greensboro, NC
Active since June 14, 2007
About Kimberly Hamilton Jackson M.a. Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY HAMILTON JACKSON M.A. LPC (NPI 1124222955) is an individual professional provider in Greensboro, North Carolina, licensed in North Carolina (2182) and active in the NPI registry since June 2007.
NPPES Registry Identity
NPI1124222955
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIMBERLY HAMILTON JACKSONCredential: M.A. LPC
Location Address17 WINDROCK WAYGreensboro, NC 27455-2258
Mailing Address17 Windrock WayGreensboro, NC 27455-2258 · (336) 282-5142
Phone(336) 282-5142
Sole ProprietorYes
Enumeration DateJune 14, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1124222955 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · 2182
17 WINDROCK WAY, Greensboro, NC 27455
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124222955, enumerated as an "individual" on June 14, 2007.
The provider is located at 17 WINDROCK WAY GREENSBORO, NC 27455 and the phone number is (336) 282-5142.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
