Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Leon Tremain Jackson, EDS, MS, NCC, LPC

Individual provider Counselor · NPI 1699141531

Mr. Leon Tremain Jackson, EDS, MS, NCC, LPC is a Counselor in Vicksburg, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2015
Specialties on file
5
What do these letters mean?
MS — Master of Science
A graduate science degree.
NCC — National Certified Counselor
A counsellor certified by the NBCC.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1115B Openwood St
Vicksburg, MS 39183-2533
Phone: (318) 341-2202
Fax: (601) 501-1030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 2016 (MS)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 2016 (MS)
Mental Health Counselor Taxonomy 101YM0800X · Licence 2016 (MS)
Professional Counselor Taxonomy 101YP2500X · Licence 2016 (MS)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 2016 (MS)

Record details

NPI number1699141531
Entity typeIndividual (Type 1)
GenderMale
Credentials EDS , MS , NCC , LPC
Sole proprietorYes
NPI enumeratedAugust 14, 2015
Last updated in NPPESAugust 14, 2015

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