Lookup NPI Numbers from the NPI Registry
NPI Profile for ADRIENNE M JACKSON in MARIETTA, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Counselor |
101Y00000X | |||
Psychologist |
103T00000X | 62 | Psychologist, Clinical |
| NPI # | 1679609036 |
|
| Status | Active | |
| Credentials | LPC (Licensed Professional Counselor) | |
| Entity | Individual | |
| Enumeration date | 02/27/2007 | |
| Last updated | 03/08/2010 - About 16 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ADRIENNE M JACKSON
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ADRIENNE M JACKSON, LPC