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Stephane Jackson, LMT, CCT
NPI 1255955464 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1770 Old Spring House Ln Ste 114
Atlanta, GA 30338 - Phone
- (770) 806-9048
- Organisation at this address
- Intermed Health Care Services, Inc.
Psychological Services Of Atlanta, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-06-03
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