Individual
JANET JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
361 LOVVORN RD APT 227, CARROLLTON, GA 30117-2888
(404) 291-1984
Mailing address
361 LOVVORN RD APT 227, CARROLLTON, GA 30117-2888
(404) 291-1984
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC008056
GA
101YP2500X
Professional Counselor
Primary
LPC008056
GA
Other
Enumeration date
11/22/2014
Last updated
04/24/2024
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