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:
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Health care specialties

SpecialtyCodeLicense #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 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679609036 NPPES
Georgia MEDICAID 214383008A

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