Individual
DR. ANGELA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, EDD
Contact information
Practice address
6125 BROOKMERE PL, MABLETON, GA 30126-2786
(404) 863-2565
Mailing address
6125 BROOKMERE PL, MABLETON, GA 30126-2786
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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