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Orville Jackson
Mental Health Counselor in Stone Mountain, Georgia
NPI 1568123248

Orville Jackson is a Mental Health Counselor based in Stone Mountain, GA and is specialized in Mental Health. Orville Jackson practices in Stone Mountain, GA. The NPI Number for Orville Jackson is 1568123248 and holds a License No. (Georgia).

The current practice location address for Orville Jackson is 5556 Redan Rd, Stone Mountain, GA and can be reached out via phone at 404-585-7533.

Location: 5556 Redan Rd, Stone Mountain, GA, 30088-3204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568123248
Provider Name
Orville Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
5556 Redan Rd, Stone Mountain, GA, 30088-3204
Phone Number
404-585-7533
Fax Number
Provider Enumeration Date
01/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5556 Redan Rd
City
Stone Mountain
State
Georgia
Zip
30088-3204
Phone Number
404-585-7533
Fax Number
person
Provider Business Mailing Address Details
Address
5556 Redan Rd
City
Stone Mountain
State
Georgia
Zip
30088-3204
Phone Number
404-585-7533
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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