Individual
COURTNEY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 GEORGIA AVE SE, SUITE 206, ATLANTA, GA 30312
(202) 441-3364
Mailing address
250 GEORGIA AVE SE, SUITE 206, ATLANTA, GA 30312
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
GA
175T00000X
Peer Specialist
Primary
—
GA
Other
Enumeration date
08/20/2019
Last updated
10/20/2025
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