person
Tawanna Jackson, CERTIFIEDPEERRECOV
Peer Specialist in College Park, Georgia
NPI 1235714874

Tawanna Jackson is a Peer Specialist based in College Park, GA. Tawanna Jackson practices in College Park, GA and has the professional credentials of CERTIFIEDPEERRECOV. The NPI Number for Tawanna Jackson is 1235714874 and holds a License No. (Georgia).

The current practice location address for Tawanna Jackson is 3370 Flat Shoals Rd, College Park, GA and can be reached out via phone at 678-558-9330.

Location: 3370 Flat Shoals Rd, College Park, GA, 30349-4008
person
Provider Profile Details
NPI Number
1235714874
Provider Name
Tawanna Jackson
Credential
CERTIFIEDPEERRECOV
Provider Entity Type
Individual
Gender
Female
Address
3370 Flat Shoals Rd, College Park, GA, 30349-4008
Phone Number
678-558-9330
Fax Number
Provider Enumeration Date
03/15/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000000 05 GA
institution
Provider Business Practice Location Address Details
Address
3370 Flat Shoals Rd
City
State
Zip
30349-4008
Phone Number
678-558-9330
Fax Number
person
Provider Business Mailing Address Details
Address
3370 Flat Shoals Rd
City
State
Zip
30349-4008
Phone Number
678-558-9330
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(Georgia)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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