Individual provider · Type 1 NPI

Shakiatra Jackson

Mental Health Counselor · Columbus, GA

NPI number 1558022368 Active

Practice location

1727 Boxwood Pl
Columbus, GA 31906-2328

Call (706) 569-0727 Map

Mailing address

1110 13th St # D
Columbus, GA 31901-2246

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Mental Health Counselor Primary 101YM0800XAPC008775 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1558022368

Shakiatra Jackson's National Provider Identifier is 1558022368, issued on Jan 4, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Columbus, GA. The record was last updated on Jan 9, 2023.