Individual
SAMANTHA LIVERPOOL-JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1387 MOURNING DOVE DR SW, CONYERS, GA 30094-5761
(404) 593-0516
Mailing address
2215 EXCHANGE PL SE, CONYERS, GA 30013-6723
(770) 679-0586
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
010154
GA
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/25/2021
Last updated
04/14/2026
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