Judy Jackson

NPI #1255700571 in Brookhaven, Georgia

Provider Information

NPI Number: 1255700571
Entity Type: Individual
Name: Judy Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Enumeration Date: Sep 16, 2015
Last Updated: Sep 16, 2015

Practice Location

Address: 2801 BUFORD HWY NE
Address 2: SUITE T30
City: Brookhaven
State: Georgia
ZIP Code: 30329-2149
Phone: (678) 856-5031

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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