Jackson, Adrienne Mcgahee
Jackson, Adrienne Mcgahee is an individual health care provider with primary practice located at 122 Cherry St. , Marietta GA 30060. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Jackson, Adrienne Mcgahee can be contacted via phone (770) 427-7441.Contact Information
Primary practice address
122 Cherry St.
Marietta GA 30060
Phone: (770) 427-7441
Fax: (770) 422-2302
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 004539 | Georgia |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 04539 | Georgia |
Profile Details
NPI number | 1679609036 |
---|---|
LBN Legal business name | Jackson, Adrienne Mcgahee |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 27th, 2007 |
Last updated | Mar 8th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1679609036 | NPPES |
Georgia | MEDICAID | 214383008A |
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