person
Emily Nanette Jackson, LPC,NCC,CSOTS
Professional Counselor in Lagrange, Georgia
NPI 1386915494

Emily Nanette Jackson is a Professional Counselor based in Lagrange, GA and is specialized in Professional. Emily Nanette Jackson practices in Lagrange, GA and has the professional credentials of LPC,NCC,CSOTS. The NPI Number for Emily Nanette Jackson is 1386915494 and holds a License No. LPC006931 (Georgia).

The current practice location address for Emily Nanette Jackson is 200 N Lewis St, Lagrange, GA and can be reached out via phone at 706-887-5787 and via fax at 706-780-5402.

Location: 200 N Lewis St, Lagrange, GA, 30240-2738
person
Provider Profile Details
NPI Number
1386915494
Provider Name
Emily Nanette Jackson
Credential
LPC,NCC,CSOTS
Provider Entity Type
Individual
Gender
Female
Address
200 N Lewis St, Lagrange, GA, 30240-2738
Phone Number
706-887-5787
Fax Number
706-780-5402
Provider Enumeration Date
01/20/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003215089A 05 GA
institution
Provider Business Practice Location Address Details
Address
200 N Lewis St
City
State
Zip
30240-2738
Phone Number
706-887-5787
Fax Number
706-780-5402
person
Provider Business Mailing Address Details
Address
200 N Lewis St
City
State
Zip
30240-2738
Phone Number
706-887-5787
Fax Number
706-780-5402
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC006931 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC006931 (Georgia)
Definition
Definition to come...
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