William Cottrell-Jackson, LPC, NCC
Counselor, Professional in Athens, GA. Individual provider (NPI-1).
NPI number1083171896
StatusActive
Last updated in NPPESJul 1, 2025
Details
- NPI
- 1083171896
- Entity type
- Individual (NPI-1)
- Name
- William Cottrell-Jackson
- Credential
- LPC, NCC
- Sole proprietor
- Yes
- Enumeration date
- Feb 28, 2019
- Certification date
- Jul 1, 2025
- Last updated
- Jul 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC012968 | GA | Yes |
| 101YP2500X | Counselor, Professional | 6401224328 | MI |
Other names
- Billy Cottrell-Jackson (Professional Name)
Practice location
888 Horizon Blvd Apt 314Athens, GA 30606-1136
Phone 404-805-8468
Mailing address
888 Horizon Blvd Apt 314Athens, GA 30606-1136
Phone 404-805-8468
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