Search › Georgia › 101YP2500X
Sandra Jackson, LPC
NPI 1881350551 · on the registry since 2021
Practice
- Address
- 121 Jackson St
Newnan, GA 30263 - Phone
- (770) 251-5873
- Fax
- (770) 304-2201
- Organisation at this address
- Lighthouse Counseling Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 13
Additional practice sites
- 44058 W Us Highway 50, Canon City, CO
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YP2500X
- Licence states on file
- CO, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-11-16
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