Individual provider · Type 1 NPI
Angela Jackson, MA, EDD
Mental Health Counselor · Mableton, GA
NPI number
1992456545
Active
Practice location
6125 Brookmere Pl
Mableton, GA 30126-2786
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1992456545
Angela Jackson, MA, EDD's National Provider Identifier is 1992456545, issued on Jan 14, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mableton, GA. The record was last updated on Jan 14, 2022.