Individual provider · Type 1 NPI

Patience V. Jackson

Mental Health Counselor · Americus, GA

NPI number 1104539980 Active

Practice location

702 Hale Dr
Americus, GA 31709-2618

Call (229) 591-9487 Map

Mailing address

209 Habitat St
Americus, GA 31709-3472

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1104539980

Patience V. Jackson's National Provider Identifier is 1104539980, issued on Dec 27, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Americus, GA. The record was last updated on Dec 27, 2022.