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Chemara Jackson, EDD,LPC
Professional Counselor in Fairburn, Georgia
NPI 1265830954

Chemara Jackson is a Professional Counselor based in Fairburn, GA and is specialized in Professional. Chemara Jackson practices in Fairburn, GA and has the professional credentials of EDD,LPC. The NPI Number for Chemara Jackson is 1265830954 and holds a License No. LPC008086 (Georgia).

The current practice location address for Chemara Jackson is 4845 Locherby Dr, Fairburn, GA and can be reached out via phone at 404-754-2989.

Location: 4845 Locherby Dr, Fairburn, GA, 30213-4385
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265830954
Provider Name
Chemara Jackson
Credential
EDD,LPC
Provider Entity Type
Individual
Gender
Female
Address
4845 Locherby Dr, Fairburn, GA, 30213-4385
Phone Number
404-754-2989
Fax Number
Provider Enumeration Date
12/11/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003140046A 05 GA
institution
Provider Business Practice Location Address Details
Address
4845 Locherby Dr
City
Fairburn
State
Georgia
Zip
30213-4385
Phone Number
404-754-2989
Fax Number
person
Provider Business Mailing Address Details
Address
4845 Locherby Dr
City
Fairburn
State
Georgia
Zip
30213-4385
Phone Number
404-754-2989
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LPC008086 (Georgia)
Definition
Definition to come...
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