Individual provider · Type 1 NPI
Tiffany Jackson, LMSW
Professional Counselor · East Point, GA
NPI number
1316532591
Active
Practice location
2474 Black Fox Trl
East Point, GA 30344-6612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | None listed |
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1316532591
Tiffany Jackson, LMSW's National Provider Identifier is 1316532591, issued on Mar 9, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in East Point, GA. The record was last updated on Mar 9, 2021.