Individual provider · Type 1 NPI

Takelia Jackson

Professional Counselor · Smyrna, GA

NPI number 1114528957 Active

Practice location

2875 Spring Villa Ln SE
Smyrna, GA 30080-3644

Call (678) 592-1680 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC011682 (GA)

Professional Counselor: Definition to come...

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About NPI 1114528957

Takelia Jackson's National Provider Identifier is 1114528957, issued on Nov 6, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Smyrna, GA. The record was last updated on Aug 13, 2021.