Individual provider · Type 1 NPI
Antoine Trevor Jackson, LAPC
Counselor · Atlanta, GA
NPI number
1881992006
Active
Practice location
1475 Mecaslin St NW Apt 7306
Atlanta, GA 30309-2287
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 002389 (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 1881992006
Antoine Trevor Jackson, LAPC's National Provider Identifier is 1881992006, issued on Mar 11, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Atlanta, GA. The record was last updated on Mar 11, 2011.