Individual provider · Type 1 NPI
Adrienne McGahee Jackson, LPC
Professional Counselor · Marietta, GA
NPI number
1679609036
Active
Practice location
122 Cherry St.
Marietta, GA 30060
Fax (770) 422-2302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Psychologist | 103T00000X | 004539 (GA) |
| Professional Counselor Primary | 101YP2500X | 04539 (GA) |
Professional Counselor: Definition to come...
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About NPI 1679609036
Adrienne McGahee Jackson, LPC's National Provider Identifier is 1679609036, issued on Feb 27, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Marietta, GA. The record was last updated on Mar 8, 2010.