Jackson, Courtney

Jackson, Courtney is an sole proprietor health care provider with primary practice located at 250 Georgia Ave Se Suite 206, Atlanta GA 30312. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Clinical. Other Service Providers / Peer Specialist is his primary health care specialty. Jackson, Courtney can be contacted via phone (202) 441-3364.

Contact Information

Primary practice address
250 Georgia Ave Se Suite 206 Atlanta GA 30312
Phone: (202) 441-3364
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X Georgia
Behavioral Health & Social Service Providers / Clinical 1041C0700X Georgia

Profile Details

NPI number 1992352421
LBN Legal business name Jackson, Courtney
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2019
Last updated Oct 20th, 2025 - about last year

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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