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

TaxonomyCodeLicense
Counselor Primary 101Y00000X002389 (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.