Individual provider · Type 1 NPI

Chesiree Jackson

Mental Health Counselor · Atlanta, GA

NPI number 1790130516 Active

Practice location

1455 Lincoln Pkwy E Ste 120
Atlanta, GA 30346-2227

Call (678) 824-6590 Map

Fax (678) 824-6597

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1790130516

Chesiree Jackson's National Provider Identifier is 1790130516, issued on Apr 29, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Atlanta, GA. The record was last updated on Apr 29, 2016.