DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: EMILY NANETTE JACKSON LPC, NCC, CSOTS

MEDICARE: EMILY NANETTE JACKSON LPC, NCC, CSOTS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLPC006931GA
2101YP2500XProfessional CounselorLPC006931GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386915494
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY NANETTE JACKSON LPC, NCC, CSOTS
Provider Business Mailing Address
First Line : 200 N LEWIS ST
Second Line :
City : LAGRANGE
State : GA
Zip : 30240-2738
Country : US
Telephone Number : 706-887-5787
Fax Number : 706-780-5402
Provider Business Practice Location Address
First Line : 200 N LEWIS ST
Second Line :
City : LAGRANGE
State : GA
Zip : 30240-2738
Country : US
Telephone Number : 706-887-5787
Fax Number : 706-780-5402
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2012
Last Update Date : 03/04/2020

Similar Medicare Providers

1508868613 — DR. JOHN WESLEY VOLLENWEIDER DMD
Practice Location Address:
210 N LEWIS ST
LAGRANGE, GA
30240-2738
Practice Phone: 706-882-2551
Practice Fax: 706-845-0469
1770549776 — RON W. COLE PH.D.
Practice Location Address:
200 N LEWIS ST
LAGRANGE, GA
30240-2738
Practice Phone: 706-594-6073
Practice Fax: 706-608-9028
1891178745 — DEBORAH BUTLER
Practice Location Address:
200 N LEWIS ST
LAGRANGE, GA
30240-2738
Practice Phone: 706-887-5787
Practice Fax: 706-780-5402
1871042739 — COURTNEY JOANNA CHANDLER LPC
Practice Location Address:
200 N LEWIS ST
LAGRANGE, GA
30240-2738
Practice Phone: 706-887-5787
Practice Fax: 706-780-5402
1902320542 — ENJ COUNSELING, LLC
Practice Location Address:
200 N LEWIS ST
LAGRANGE, GA
30240-2738
Practice Phone: 706-887-5787
Practice Fax: 706-780-5402
1770059354 — KITRINA BUSH LPC
Practice Location Address:
200 N LEWIS ST
LAGRANGE, GA
30240-2738
Practice Phone: 706-887-5787
Practice Fax: 706-780-5402

Directions to “ EMILY NANETTE JACKSON LPC, NCC, CSOTS” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.