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Individual
HEATHER LOUISE JACKSON
Active
Individual
HEATHER LOUISE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APC007675
GA
101YM0800X
Mental Health Counselor
Primary
LPC014188
GA
Other
Enumeration date
09/19/2021
Last updated
01/18/2024
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