Emily Nanette Jackson, LPC, NCC, CSOTS

NPI #1386915494 in Lagrange, Georgia

Provider Information

NPI Number: 1386915494
Entity Type: Individual
Name: Emily Nanette Jackson, LPC, NCC, CSOTS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC, NCC, CSOTS
Enumeration Date: Jan 20, 2012
Last Updated: Mar 4, 2020

Practice Location

Address: 200 N LEWIS ST
City: Lagrange
State: Georgia
ZIP Code: 30240-2738
Phone: (706) 887-5787

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X	Primary

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