| Doctor Name: | MS. AESHIA L JACKSON |
| NPI Number: | 1467613570 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, PLCSW |
| License Number: | PLCSW4034 |
| Business Practice Address: | 241 Grant St West End, NC - 273768377 |
| Business Phone Number: | 9106732323 |
| Business Fax Number: | 9106736565 |
| Mailing Address: | 100 Pear St, ABERDEEN |
| State: | NC |
| Postal Code: | 283152924 |
| Phone Number: | 9105286172 |
| Fax Number: | 9109442417 |
| NPI Enumeration Date: | 06/20/2008 |
| NPI Last Update Date: | 06/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | PLCSW4034 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |