Search › Georgia › 101Y00000X
Antoine Jackson, LAPC
NPI 1881992006 · on the registry since 2011 · sole proprietor
Practice
- Address
- 1475 Mecaslin St Nw Apt 7306
Atlanta, GA 30309 - Phone
- (404) 925-2276
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-03-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia