Individual provider · Type 1 NPI
William Cottrell-Jackson, LPC, NCC
Professional Counselor · Athens, GA
NPI number
1083171896
Active
Practice location
888 Horizon Blvd Apt 314
Athens, GA 30606-1136
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 6401224328 (MI) |
| Professional Counselor Primary | 101YP2500X | LPC012968 (GA) |
Professional Counselor: Definition to come...
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About NPI 1083171896
William Cottrell-Jackson, LPC, NCC's National Provider Identifier is 1083171896, issued on Feb 28, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Athens, GA. The record was last updated on Jul 1, 2025.