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Organization

JACKSON FAMILY THERAPY AND COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TOMMY EUGENE JACKSON II PH.D (OWNER)
(334) 707-2634
Entity
Organization

Contact information

Practice address
2117 HAMBY COVE DR, NW, ACWORTH, GA 30102
(334) 707-2634
Mailing address
2117 HAMBY COVE DR NW, ACWORTH, GA 30102-6493

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
09/01/2016
Last updated
09/22/2016
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