Individual provider · Type 1 NPI

Heather Louise Jackson, LPC

Mental Health Counselor · Alpharetta, GA

NPI number 1104596253 Active

Practice location

4080 Mcginnis Ferry Rd Ste 1304
Alpharetta, GA 30005-3951

Mailing address

5309 Westmoreland Rd
Cleveland, GA 30528-5252

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC014188 (GA)
Mental Health Counselor 101YM0800XAPC007675 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1104596253

Heather Louise Jackson, LPC's National Provider Identifier is 1104596253, issued on Sep 19, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Alpharetta, GA. The record was last updated on Jan 18, 2024.