Individual
HELEN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, MCD, CCC-SLP
Contact information
Practice address
700 OGLETHORPE AVE STE A2, ATHENS, GA 30606-2221
(770) 995-9600
(678) 383-4556
Mailing address
2295 HENRY CLOWER BLVD STE 100, SNELLVILLE, GA 30078-5707
(770) 995-9600
(678) 383-4556
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET002870
GA
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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