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Search › Georgia › 101YP2500X

Michael Jackson, MS, M.DIV.,NCC, LPC

NPI 1568755908 · on the registry since 2011 · sole proprietor

Practice

Address
1200 Memorial Dr
Dalton, GA 30720
Phone
(706) 272-6480
Fax
(706) 272-6109
Organisation at this address
William P Mckay Md
Blue Lake Health, Llc
Hamilton Medical Center Inc
Hamilton Medical Center Inc
Hamilton Medical Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
152

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-05-18

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