Individual
BETH Z JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1065 POWERS PL, ALPHARETTA, GA 30009-7204
(706) 425-8900
Mailing address
3050 HAVEN RESERVE, MILTON, GA 30004-7541
(404) 295-5887
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
005424
GA
1041C0700X
Clinical Social Worker
Primary
CSW005424
GA
Other
Enumeration date
10/17/2013
Last updated
06/30/2025
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