Individual provider · Type 1 NPI

Judy Jackson

Professional Counselor · Brookhaven, GA

NPI number 1255700571 Active

Practice location

2801 Buford Hwy NE, Suite T30
Brookhaven, GA 30329-2149

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC007193 (GA)

Professional Counselor: Definition to come...

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About NPI 1255700571

Judy Jackson's National Provider Identifier is 1255700571, issued on Sep 16, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Brookhaven, GA. The record was last updated on Sep 16, 2015.