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Mr. Antoine Trevor Jackson, LAPC
Counselor in Atlanta, Georgia
NPI 1881992006

Antoine Trevor Jackson is a Counselor based in Atlanta, GA. Antoine Trevor Jackson practices in Atlanta, GA and has the professional credentials of LAPC. The NPI Number for Antoine Trevor Jackson is 1881992006 and holds a License No. 002389 (Georgia).

The current practice location address for Antoine Trevor Jackson is 1475 Mecaslin St Nw Apt 7306, Atlanta, GA and can be reached out via phone at 404-925-2276.

Location: 1475 Mecaslin St Nw Apt 7306, Atlanta, GA, 30309-2287
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881992006
Provider Name
Antoine Trevor Jackson
Credential
LAPC
Provider Entity Type
Individual
Gender
Male
Address
1475 Mecaslin St Nw Apt 7306, Atlanta, GA, 30309-2287
Phone Number
404-925-2276
Fax Number
Provider Enumeration Date
03/11/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1475 Mecaslin St Nw Apt 7306
City
Atlanta
State
Georgia
Zip
30309-2287
Phone Number
404-925-2276
Fax Number
person
Provider Business Mailing Address Details
Address
1475 Mecaslin St Nw Apt 7306
City
Atlanta
State
Georgia
Zip
30309-2287
Phone Number
404-925-2276
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
002389 (Georgia)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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