Individual provider · Type 1 NPI
Jubrenza Renae Jackson, LPC
Mental Health Counselor · Buford, GA
NPI number
1720911191
Active
Practice location
2954 Wardlaw Ln
Buford, GA 30519-3828
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPC017512 (GA) |
Mental Health Counselor: Definition to come...
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About NPI 1720911191
Jubrenza Renae Jackson, LPC's National Provider Identifier is 1720911191, issued on Jun 5, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Buford, GA. The record was last updated on Oct 16, 2026.