Orville Jackson
Orville Jackson is a Mental Health Counselor in Stone Mountain, Georgia. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
5556 Redan RdStone Mountain, GA 30088-3204
Phone: (404) 585-7533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1568123248 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 5, 2022 |
| Last updated in NPPES | January 5, 2022 |
| Certification date | January 5, 2022 |
| Mailing address | 5556 Redan Rd, Stone Mountain, GA 30088-3204 |
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