Individual
IMANI JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3455 PEACHTREE RD NE FL 5, ATLANTA, GA 30326-3254
(415) 992-6155
(650) 360-6913
Mailing address
447 SUTTER ST STE 405, SAN FRANCISCO, CA 94108-4618
(415) 992-6155
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC010277
GA
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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