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

Dr. Henretta Collin Jackson, DMIN

Individual provider Marriage & Family Therapist · NPI 1558165704

Dr. Henretta Collin Jackson, DMIN is a Marriage & Family Therapist in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2025.

Licensed in
NC
In the registry since
2025

Practice location Address checks out

3719 Latrobe Dr Ste 830
Charlotte, NC 28211-5120
Phone: (980) 866-6383
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 10410A (NC)

Record details

NPI number1558165704
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMIN
Sole proprietorNo
NPI enumeratedApril 4, 2025
Last updated in NPPESApril 4, 2025
Certification dateApril 4, 2025

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