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Tieshekia Fowlks- Jackson
Professional Counselor in Atlanta, Georgia
NPI 1881990950

Tieshekia Fowlks- Jackson is a Professional Counselor based in Clarkston, GA and is specialized in Professional. Tieshekia Fowlks- Jackson practices in Atlanta, GA. The NPI Number for Tieshekia Fowlks- Jackson is 1881990950 and holds a License No. 005832 (Georgia).

The current practice location address for Tieshekia Fowlks- Jackson is 2900 Chamblee Tucker Rd Ste 200, Atlanta, GA and can be reached out via phone at 404-914-8877.

Location: 2900 Chamblee Tucker Rd Ste 200, Atlanta, GA, 30021-0473
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881990950
Provider Name
Tieshekia Fowlks- Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2900 Chamblee Tucker Rd Ste 200, Atlanta, GA, 30021-0473
Phone Number
404-914-8877
Fax Number
Provider Enumeration Date
02/07/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2900 Chamblee Tucker Rd Ste 200
City
Atlanta
State
Georgia
Zip
30341-4100
Phone Number
404-914-8877
Fax Number
person
Provider Business Mailing Address Details
Address
2900 Chamblee Tucker Rd Ste 200
City
Atlanta
State
Georgia
Zip
30341-4100
Phone Number
404-914-8877
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
005832 (Georgia)
Definition
Definition to come...
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