Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Antoine Trevor Jackson, LAPC

Individual provider Counselor · NPI 1881992006

Mr. Antoine Trevor Jackson, LAPC is a Counselor in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2011
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Practice location Address checks out

1475 Mecaslin St NW Apt 7306
Atlanta, GA 30309-2287
Phone: (404) 925-2276
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 002389 (GA)

Record details

NPI number1881992006
Entity typeIndividual (Type 1)
GenderMale
Credentials LAPC
Sole proprietorYes
NPI enumeratedMarch 11, 2011
Last updated in NPPESMarch 11, 2011

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