Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Dewanda B. Jackson, LPC, CPCS, EAU-C

Individual provider Professional Counselor · NPI 1184761561

Mrs. Dewanda B. Jackson, LPC, CPCS, EAU-C is a Mental Health Counselor in Decatur, Georgia. Qualified in 1992, 34 years ago. Practices with Marvelous Light Consultants, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
34
Licensed in
GA
In the registry since
2007
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

4319 Covington Hwy Ste 110
Decatur, GA 30035-1206
Phone: (404) 286-0054
Fax: (404) 286-0064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC002390 (GA)

Record details

NPI number1184761561
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , CPCS , EAU-C
Sole proprietorNo
NPI enumeratedFebruary 1, 2007
Last updated in NPPESJune 23, 2021
Certification dateJune 23, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Marvelous Light Consultants — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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