Individual provider · Type 1 NPI

Jacqueline Nicole Jackson, BSPM/BA/MSFP

Mental Health Counselor · Guyton, GA

NPI number 1629935978 Active

Practice location

174 Scholar Rd
Guyton, GA 31312-6240

Call (912) 231-7061 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1629935978

Jacqueline Nicole Jackson, BSPM/BA/MSFP's National Provider Identifier is 1629935978, issued on Jan 8, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Guyton, GA. The record was last updated on Jan 8, 2026.