Individual
DR. ASHLEY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3785 TOWN SQUARE CIR NW, KENNESAW, GA 30144-2377
(334) 707-2634
Mailing address
3785 TOWN SQUARE CIR NW, KENNESAW, GA 30144-2377
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001368
GA
Other
Enumeration date
01/02/2015
Last updated
01/02/2015
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