Individual provider · Type 1 NPI

Larissa Jackson, MS

Professional Counselor · Athens, GA

NPI number 1073230736 Active

Practice location

1720 Lexington Rd Ste A
Athens, GA 30605-2330

Call (706) 543-3522 Map

Fax (706) 543-3523

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC009037 (GA)

Professional Counselor: Definition to come...

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About NPI 1073230736

Larissa Jackson, MS's National Provider Identifier is 1073230736, issued on Oct 24, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Athens, GA. The record was last updated on Oct 24, 2022.