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Samantha Liverpool-jackson
Mental Health Counselor in Conyers, Georgia
NPI 1497419683

Samantha Liverpool-jackson is a Mental Health Counselor based in Conyers, GA and is specialized in Mental Health. Samantha Liverpool-jackson practices in Conyers, GA. The NPI Number for Samantha Liverpool-jackson is 1497419683 and holds a License No. (Georgia).

The current practice location address for Samantha Liverpool-jackson is 2215 Exchange Pl Se, Conyers, GA and can be reached out via phone at 770-679-0586.

Location: 2215 Exchange Pl Se, Conyers, GA, 30013-6723
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497419683
Provider Name
Samantha Liverpool-jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2215 Exchange Pl Se, Conyers, GA, 30013-6723
Phone Number
770-679-0586
Fax Number
Provider Enumeration Date
10/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2215 Exchange Pl Se
City
Conyers
State
Georgia
Zip
30013-6723
Phone Number
770-679-0586
Fax Number
person
Provider Business Mailing Address Details
Address
2215 Exchange Pl Se
City
Conyers
State
Georgia
Zip
30013-6723
Phone Number
770-679-0586
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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