Individual
HEATHER LOUISE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4080 MCGINNIS FERRY RD STE 1304, ALPHARETTA, GA 30005-3951
(678) 740-3990
Mailing address
5309 WESTMORELAND RD, CLEVELAND, GA 30528-5252
(706) 809-4050
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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