Individual
DR. EMILY BROCKETT JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1670 CLAIRMONT ROAD, ATLANTA VA MEDICAL CENTER, DECATUR, GA 30033
(404) 429-0419
Mailing address
15 CARDINAL CT, STOCKBRIDGE, GA 30281-1785
(404) 429-0419
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003380
GA
103TC1900X
Counseling Psychologist
Primary
PSY003380
GA
Other
Enumeration date
10/13/2010
Last updated
03/04/2026
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