Judy Jackson Valid NPI
Individual provider · Professional Counselor · Brookhaven, GA
- NPI
- 1255700571
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- LPC007193 (GA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2015-09-16
- Last updated
- 2015-09-16
Practice location
2801 Buford Hwy Ne, Suite T30
Brookhaven, GA 30329-2149
(678) 856-5031