Individual
MS. KIMBERLY DIONE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,LPC
Contact information
Practice address
233 MITCHELL ST SW STE 510, ATLANTA, GA 30303-3322
(678) 595-8060
(678) 595-8060
Mailing address
233 MITCHELL ST SW STE 510, ATLANTA, GA 30303-3322
(678) 595-8060
(678) 595-8060
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006188
GA
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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