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

Jacqueline Kristine Samuelson

Individual provider Mental Health Counselor · NPI 1912846163

Jacqueline Kristine Samuelson is a Mental Health Counselor in Jacksonville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2026.

Licensed in
NC
In the registry since
2026

Practice location Address checks out

200 Valencia Dr Ste 109
Jacksonville, NC 28546-6312
Phone: (910) 330-7559
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence A22893 (NC)

Record details

NPI number1912846163
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 25, 2026
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026

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