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Individual

MR. JOSEPH EDWARD JACKSON III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
685 LINWOOD AVE NE STE 300, ATLANTA, GA 30306-4437
(404) 947-8344
Mailing address
685 LINWOOD AVE NE STE 300, ATLANTA, GA 30306-4437
(615) 336-4882

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
08/11/2023
Last updated
08/11/2023
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