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

Clarissa Jackson

Individual provider Mental Health Counselor · NPI 1851907364

Clarissa Jackson is a Mental Health Counselor in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2020

Practice location Address checks out

10140 Hawkeye Dr
Charlotte, NC 28273-4536
Phone: (704) 458-8110
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (NC)

Record details

NPI number1851907364
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 20, 2020
Last updated in NPPESSeptember 20, 2020
Certification dateSeptember 20, 2020

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