Individual
CHERYL ANDREA JACKSON BOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3072 EARLY ST NW STE 200, ATLANTA, GA 30305-1984
(404) 865-3929
Mailing address
2862 LIVSEY WOODS DR, TUCKER, GA 30084-2584
(770) 402-1765
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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