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Individual
SHERKEITH JACKSON
Active
Individual
SHERKEITH JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
23255663
GA
103TC2200X
Clinical Child & Adolescent Psychologist
23255663
GA
251B00000X
Case Management Agency
23255663
GA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
23255663
GA
Other
Enumeration date
07/19/2025
Last updated
07/21/2025
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