Individual
JORDAN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2751 BUFORD HWY NE STE 700, ATLANTA, GA 30324-5510
(404) 948-6975
Mailing address
3146 GWINNSTONE CIR, SNELLVILLE, GA 30078-4512
(678) 672-8371
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
GA
Other
Enumeration date
09/01/2025
Last updated
09/01/2025
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