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Chesiree Jackson

Counselor, Mental Health in Atlanta, GA. Individual provider (NPI-1).

NPI number1790130516
StatusActive
Last updated in NPPESApr 29, 2016

Details

NPI
1790130516
Entity type
Individual (NPI-1)
Name
Chesiree Jackson
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 29, 2016
Last updated
Apr 29, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

1455 Lincoln Pkwy E Ste 120
Atlanta, GA 30346-2227

Phone 678-824-6590 · Fax 678-824-6597

Mailing address

1455 Lincoln Pkwy E Ste 120
Atlanta, GA 30346-2227

Phone 678-824-6590 · Fax 678-824-6597

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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