Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Antoinette Rosa Jackson (Aziz), LPC

Individual provider Professional Counselor · NPI 1700439171

Antoinette Rosa Jackson (Aziz), LPC is a Professional Counselor in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2019
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

6122 Ridge Ave
Philadelphia, PA 19128-1603
Phone: (215) 487-1330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PC009302 (PA)

Record details

NPI number1700439171
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedJuly 24, 2019
Last updated in NPPESJuly 24, 2019

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