Stacey Lajune Jackson in Stockbridge - Counseling

Stacey Lajune Jackson - NPI 1659562692

Stacey Lajune Jackson is a Counseling in Stockbridge, Georgia. Stacey Lajune Jackson practices all healthcare services and medical treatments related to Counseling. The NPI Number for Stacey Lajune Jackson is 1659562692. The last update date is 2007-08-06.

Stacey Lajune Jackson's current location address is 110 Eagles Walk, Stockbridge, Georgia. You can contact this provider via phone number 7705076044 and fax number 7705075284. The mailing address for Stacey Lajune Jackson is 110 Eagles Walk, Stockbridge, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Stacey Lajune Jackson
Address 110 Eagles Walk, Stockbridge, Georgia
Phone Number 7705076044
Fax Number 7705075284
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1659562692
Provider Enumeration Date 2007-08-06
Last Updated Date 2007-08-06

Provider Mailing Address Detail

Address 110 Eagles Walk
City Stockbridge
State Georgia (GA)
Post Code 302817204
Phone Number 7705076044
Fax Number 7705075284

Provider's Primary Taxonomy Detail

Speciality Counseling
Taxonomy 103Tc1900X
Licence No PSY003073
Definition:
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health c

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FAQs about Stacey Lajune Jackson

What is the unique identification code assigned to Stacey Lajune Jackson by the Centers for Medicare & Medicaid Services?

The Stacey Lajune Jackson has been issued the NPI (National Provider Identifier) 1659562692. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Stacey Lajune Jackson is geographically located?

The Stacey Lajune Jackson is physically situated at the following location: 110 Eagles Walk, Stockbridge, GA, 302817204.

What is the Stacey Lajune Jackson's specialty and taxonomy code?

The Stacey Lajune Jackson's specialty is Counseling, and the corresponding taxonomy code is 103Tc1900X.

On what date did the Centers for Medicare & Medicaid Services assign the 1659562692 to Stacey Lajune Jackson?

The Centers for Medicare & Medicaid Services assigned the 1659562692 to Stacey Lajune Jackson on 2007-08-06.

When was the information related to Stacey Lajune Jackson most recently updated or refreshed?

The details pertaining to the Stacey Lajune Jackson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-08-06.

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