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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TAKELIA JACKSON

Active Sole Proprietor

TAKELIA JACKSON is a Professional Counselor healthcare provider located in SMYRNA, Georgia. NPI 1114528957 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · SMYRNA, GA

Registration Details

NPI Number
1114528957
Provider Type
Individual
Gender
Female
NPI Issued
Nov 6, 2020 (5.7543300279862 yrs)
Last Updated
Aug 13, 2021
License
LPC011682 (GA)
Sole Proprietor
Yes

Practice Information

Address
2875 SPRING VILLA LN SE
SMYRNA, GA, 300803644
Browse GA providers · Browse ZIP 30080
Phone
6785921680
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in SMYRNA, GA

Name Credential NPI
ADRIANA TORRES STANLEY LPC 1477594869
MARGARET BUICE LPC 1093805061
VERNON R GRAMLING LMFT, LPC 1104983675
MS. KAREN LEE HANNAH M.S., L.P.C. 1780804724
MRS. CATHERINE M. BAER LPC 1720293509
NUR BANU IBAOGLU VAUGHN MA, LPC 1396937413
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.