Individual
ANGELA DENISE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3100 INTERSTATE NORTH CIR SE STE 200, ATLANTA, GA 30339-2384
(770) 374-9543
Mailing address
3100 INTERSTATE NORTH CIR SE STE 200, ATLANTA, GA 30339-2384
(770) 374-9543
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
009237
GA
Other
Enumeration date
04/08/2025
Last updated
06/17/2025
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