Individual provider · Type 1 NPI

Jacqueline Latricia Slack, LPC, NCC

Counselor · Atlanta, GA

NPI number 1871806992 Active

Practice location

80 Joseph E Lowery Blvd NW
Atlanta, GA 30314-3421

Call (404) 226-7553 Map

Mailing address

PO Box 5810
Atlanta, GA 31107-0810

Other practice locations

  • 9 Kelso At Peyton Dr SW, Atlanta, GA 30311-1721 · (404) 226-7553

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLPC005620 (GA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1871806992

Jacqueline Latricia Slack, LPC, NCC's National Provider Identifier is 1871806992, issued on Jul 18, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Atlanta, GA. The record was last updated on Jan 26, 2023.