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MARLO JACKSON
NPI 1396921441
Counselor - Addiction (Substance Use Disorder) in Raleigh, NC

Active since January 18, 2008
3125 POPLARWOOD CT STE 203, RALEIGH, NC 27604(919) 787-6131(919) 571-2932 Get Directions Write a Review

NPPES record last updated: January 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marlo Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARLO JACKSON (NPI 1396921441) is an individual addiction (substance use disorder) provider in Raleigh, North Carolina and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1396921441
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMARLO JACKSON
Location Address3125 POPLARWOOD CT STE 203Raleigh, NC 27604-6445
Mailing Address3125 Poplarwood Ct Ste 203Raleigh, NC 27604-6445 · (919) 787-6131 · Fax (919) 571-2932
Phone(919) 787-6131
Fax(919) 571-2932
Sole ProprietorNo
Enumeration DateJanuary 18, 2008
✔ NPI 1396921441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
3125 POPLARWOOD CT STE 203, Raleigh, NC 27604
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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE ZEIDAN
Social Worker (Clinical)
3125 POPLARWOOD CT STE 203
RALEIGH, NC 27604
Wake County (919) 872-7373
CHARLES LOFLIN SAPP LCSWA, LCASA
Counselor (Addiction (Substance Use Disorder))
3125 POPLARWOOD CT STE 203
RALEIGH, NC 27604
Wake County (919) 787-6131
LAWANDA SANYAG
Counselor (Addiction (Substance Use Disorder))
3125 POPLARWOOD CT STE 203
RALEIGH, NC 27604
Wake County (919) 787-6131
ABIGAIL HOLLAND
Counselor (Addiction (Substance Use Disorder))
3125 POPLARWOOD CT STE 203
RALEIGH, NC 27604
Wake County (919) 787-6131
JESSICA FRAWLEY
Counselor (Addiction (Substance Use Disorder))
3125 POPLARWOOD CT STE 203
RALEIGH, NC 27604
Wake County (919) 787-6137
PATRICIA FULFORD
Counselor (Addiction (Substance Use Disorder))
3125 POPLARWOOD CT STE 203
RALEIGH, NC 27604
Wake County (919) 787-6731
CRYSTAL FYALA
Counselor (Addiction (Substance Use Disorder))
3125 POPLARWOOD CT STE 203
RALEIGH, NC 27604
Wake County (919) 787-6131
MS. OLIVIA WINSTEAD LCSW-A
Social Worker (Clinical)
3125 POPLARWOOD CT STE 203
RALEIGH, NC 27604
Wake County (919) 787-6131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marlo Jackson's NPI number?

The NPI number for Marlo Jackson is 1396921441. It was assigned to this individual provider in the NPPES registry on January 18, 2008.

Where is Marlo Jackson located?

Marlo Jackson practices at 3125 Poplarwood Ct Ste 203, Raleigh, NC 27604. The listed phone number is (919) 787-6131.

What is Marlo Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Marlo Jackson was last updated on January 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.