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

Courtney Kelly Jackson

Individual provider Professional Counselor · NPI 1649060765

Courtney Kelly Jackson is a Professional Counselor in Charlotte, North Carolina. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

7401 Carmel Executive Park Dr Ste 210
Charlotte, NC 28226-0406
Phone: (704) 752-8414
Fax: (704) 544-1109
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1649060765
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 12, 2025
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026

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