Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jackson Thomas Streitwieser, LCAS, LCMHC-A

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1124783253

Jackson Thomas Streitwieser, LCAS, LCMHC-A is an Addiction (Substance Use Disorder) Counselor in Greensboro, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

315 E Washington St
Greensboro, NC 27401-2911
Phone: (336) 387-6161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3300 Battleground Ave Ste 304, Greensboro, NC 27410-2491 — (336) 285-7173

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence A17081 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-26174 (NC)

Record details

NPI number1124783253
Entity typeIndividual (Type 1)
GenderMale
Credentials LCAS , LCMHC-A
Sole proprietorNo
NPI enumeratedNovember 3, 2021
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024

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