person
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. You can also correspond with Takelia Jackson through the mailing address at 2875 SPRING VILLA LN SE, SMYRNA, GA - 30080-3644 (mailing address contact number: 678-592-1680).

Location: 2875 Spring Villa Ln Se, Smyrna, GA, 30080-3644
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
State
Zip
30080-3644
Phone Number
678-592-1680
Fax Number
person
Provider Business Mailing Address Details
Address
2875 Spring Villa Ln Se
City
State
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
License No.
LPC011682 (Georgia)
Definition
Definition to come...
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