Individual provider · Type 1 NPI

Emily Nanette Jackson, LPC, NCC, CSOTS

Professional Counselor · Lagrange, GA

NPI number 1386915494 Active

Practice location

200 N Lewis St
Lagrange, GA 30240-2738

Fax (706) 780-5402

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLPC006931 (GA)
Professional Counselor Primary 101YP2500XLPC006931 (GA)

Professional Counselor: Definition to come...

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About NPI 1386915494

Emily Nanette Jackson, LPC, NCC, CSOTS's National Provider Identifier is 1386915494, issued on Jan 20, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lagrange, GA. The record was last updated on Mar 4, 2020.