Individual
BETHANY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2480 WINDY HILL RD SE STE 200, MARIETTA, GA 30067-8656
(678) 892-7713
Mailing address
2023 OAKVIEW RD SE # B212, ATLANTA, GA 30317-2520
(404) 839-2855
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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