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Takelia Jackson
Professional Counselor in Smyrna, Georgia
NPI 1114528957

Takelia Jackson is a Professional Counselor based in Smyrna, GA and is specialized in Professional. Takelia Jackson practices in Smyrna, GA. The NPI Number for Takelia Jackson is 1114528957 and holds a License No. LPC011682 (Georgia).

The current practice location address for Takelia Jackson is 2875 Spring Villa Ln Se, Smyrna, GA and can be reached out via phone at 678-592-1680.

Location: 2875 Spring Villa Ln Se, Smyrna, GA, 30080-3644
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114528957
Provider Name
Takelia Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2875 Spring Villa Ln Se, Smyrna, GA, 30080-3644
Phone Number
678-592-1680
Fax Number
Provider Enumeration Date
11/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2875 Spring Villa Ln Se
City
Smyrna
State
Georgia
Zip
30080-3644
Phone Number
678-592-1680
Fax Number
person
Provider Business Mailing Address Details
Address
2875 Spring Villa Ln Se
City
Smyrna
State
Georgia
Zip
30080-3644
Phone Number
678-592-1680
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LPC011682 (Georgia)
Definition
Definition to come...
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