Organization
DISTINCTIVE NATURE, LLC
Active
Organization
DISTINCTIVE NATURE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON B EVANS-JACKSON LCSW (CLINICAL THERAPIST)
(404) 907-1934
Entity
Organization
Contact information
Practice address
2751 BUFORD HWY NE, ATLANTA, GA 30324-3207
(404) 907-1934
(404) 907-1934
Mailing address
931 MONROE DR NE STE A102, ATLANTA, GA 30308-2183
(404) 907-1934
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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