Individual provider · Type 1 NPI

Angela Denise Jackson, LPC

Professional Counselor · Atlanta, GA

NPI number 1407640907 Active

Practice location

3100 Interstate North Cir SE Ste 200
Atlanta, GA 30339-2384

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X009237 (GA)

Professional Counselor: Definition to come...

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About NPI 1407640907

Angela Denise Jackson, LPC's National Provider Identifier is 1407640907, issued on Apr 8, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Atlanta, GA. The record was last updated on Jun 17, 2025.