Individual
DR. FELICIA LYNETTE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1201 CLAIRMONT RD STE 305A, DECATUR, GA 30030-1258
(404) 692-7005
Mailing address
1201 CLAIRMONT RD STE 305A, DECATUR, GA 30030-1258
(404) 692-7005
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
004434
GA
103T00000X
Psychologist
024378
NY
Other
Enumeration date
06/13/2018
Last updated
04/30/2022
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