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

Mr. Tracy Lamont Jackson

Individual provider Mental Health Counselor · NPI 1548117013

Mr. Tracy Lamont Jackson is a Mental Health Counselor in Raleigh, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2026

Practice location Address checks out

2032 Brentwood Rd Apt B
Raleigh, NC 27604-3285
Phone: (919) 995-3185
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 P019412 (NC)

Record details

NPI number1548117013
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 13, 2026
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026

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