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

Mario Jackson

Individual provider Mental Health Counselor · NPI 1689479412

Mario Jackson is a Mental Health Counselor in Monroe, 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

4831 Old Charlotte Hwy Ste A
Monroe, NC 28110-6300
Phone: (704) 575-2142
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 230958 (NC)

Record details

NPI number1689479412
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 17, 2025
Last updated in NPPESFebruary 17, 2025
Certification dateFebruary 17, 2025
Mailing address1736 Dickerson Blvd Ste F, Monroe, NC 28110-2833

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