Search › North Carolina › 1041C0700X
Carolyn Jackson, LCSW, LCAS-A
NPI 1689805657 · on the registry since 2009 · sole proprietor
Practice
- Address
- 3205 Randall Pkwy Ste 121
Wilmington, NC 28403 - Phone
- (910) 520-6083
- Organisation at this address
- Tide Associates Pllc
Lifesource Prime Inc
The Healing Point, Pllc
Wilmington Nc Homecare Llc
Tirzah Wellness Center, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 64
Additional practice sites
- 44 Dream Ave, Delco, NC
- 610 Varsity Dr, Wilmington, NC
- 1213 Culbreth Dr, Wilmington, NC
- 3205 Randall Pkwy Ste 121, Wilmington, NC
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-05-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina