Search › Georgia › 101YP2500X
Tiffany Jackson, LMSW
NPI 1316532591 · on the registry since 2021 · sole proprietor
Practice
- Address
- 2474 Black Fox Trl
East Point, GA 30344 - Phone
- (510) 435-2172
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YP2500X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-03-09
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