Donald Lee Jackson, LPC Valid NPI

Individual provider · Counselor · Statham, GA

NPI

1215310115

Type

Individual (Type 1)

Primary specialty

Counselor

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101Y00000X

License number

LPC008592 (GA)

Sex

Male

Sole proprietor

Yes

Enumerated

2015-07-09

Last updated

2025-03-11