Individual
AZIA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
223 DUNBAR CAVE RD STE A, CLARKSVILLE, TN 37043-8831
(931) 444-3219
Mailing address
223 DUNBAR CAVE RD STE A, CLARKSVILLE, TN 37043-8831
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8067
TN
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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