Individual
CLIFF JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2350 PRINCE AVE STE 17, ATHENS, GA 30606-6040
(706) 389-8161
(888) 640-1360
Mailing address
2350 PRINCE AVE STE 17, ATHENS, GA 30606-6040
(706) 389-8161
(888) 640-1360
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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