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

Jerry Edwin Jackson Jr., LPC

Individual provider Professional Counselor · NPI 1356423594

Jerry Edwin Jackson Jr., LPC is a Professional Counselor in Wilmington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

3963 Market St Ste A
Wilmington, NC 28403
Phone: (910) 362-9474
Fax: (910) 362-9192
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 5109 (NC)

Record details

NPI number1356423594
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedOctober 19, 2006
Last updated in NPPESJuly 9, 2007

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