Individual provider · Type 1 NPI
Tiffany Bass-Jackson, APC
Professional Counselor · Newnan, GA
NPI number
1699349357
Active
Practice location
90F Glenda Trce Ste 244
Newnan, GA 30265-3858
Fax (678) 578-5830
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC012222 (GA) |
Professional Counselor: Definition to come...
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About NPI 1699349357
Tiffany Bass-Jackson, APC's National Provider Identifier is 1699349357, issued on May 18, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Newnan, GA. The record was last updated on Feb 12, 2025.