Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STACEY LAJUNE JACKSON
Active Sole ProprietorDR. STACEY LAJUNE JACKSON is a Counseling Psychologist healthcare provider located in STOCKBRIDGE, Georgia. NPI 1659562692 is currently active in the NPPES registry. Verify at CMS.
Counseling Psychologist · STOCKBRIDGE, GA
Registration Details
- NPI Number
- 1659562692
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 6, 2007 (19.055383591359 yrs)
- Last Updated
- Aug 6, 2007
- License
-
PSY003073 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
110 EAGLES WALKSTE. 100STOCKBRIDGE, GA, 302817204Browse GA providers · Browse ZIP 30281
- Phone
- 7705076044
- Fax
- 7705075284
- Primary Specialty
-
Counseling Psychologist
103TC1900X
Other Counseling Psychologist Providers in STOCKBRIDGE, GA
| Name | Credential | NPI |
|---|---|---|
| DR. DONTAVIOUS FORD | PHD | 1487268744 |
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.