Shawna Jackson

NPI #1225531411 in Tyrone, Georgia

Provider Information

NPI Number: 1225531411
Entity Type: Individual
Name: Shawna Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Mar 14, 2018
Last Updated: Mar 14, 2018

Practice Location

Address: 100 GLENDALOUGH CT STE E
City: Tyrone
State: Georgia
ZIP Code: 30290-2942
Phone: (770) 683-9375

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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