Jerry Edwin Jackson Jr. is a Wilmington, North Carolina based counselor who is specialized as Professional Counselor. Active license number of Jerry Edwin Jackson Jr. is 5109 for Professional Counselor in North Carolina. His current practice location is 3963 Market Street, Suite A, Wilmington. Patients can book an appointment with him at 910-362-9474.
Jerry Edwin Jackson Jr. is a licensed mental health practitioner trained to help individuals, couples, and groups address emotional, psychological, and behavioral challenges. He uses talk therapy and evidence-based counseling methods to support clients in managing mental health conditions, improving relationships, and developing coping strategies for life’s difficulties.
Complete Profile:
Jerry Edwin Jackson Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Jerry Edwin Jackson Jr.
Specialization:
Professional Counselor
Gender:
Male
Credentials:
LPC
Accepts Medicare Assignment:
No
Practice Address:
3963 Market Street, Suite A, Wilmington, North Carolina, 28403
Phone:
910-362-9474
Fax:
910-362-9192
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1356423594
NPI Enumeration Date:
19 Oct, 2006
NPI Last Update On:
09 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jerry Edwin Jackson Jr. are as mentioned below.
License Number
Specialization
State
Status
5109
Professional Counselor
North Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jerry Edwin Jackson Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
6103285
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3963 Market Street, Suite A Wilmington, North Carolina
Zip:
28403
Phone Number:
910-362-9474
Fax Number:
910-362-9192
Patients can reach Jerry Edwin Jackson Jr. at 3963 Market Street, Suite A, Wilmington, North Carolina or can call to book an appointment on 910-362-9474. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.