Jerry Edwin Jackson Jr.
LPC | Professional Counselor
3963 Market Street, Suite A, Wilmington
North Carolina, 28403
910-362-9474 910-362-9192
Maps & DirectionsJerry 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.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.