Jackson, George Darryl

Jackson, George Darryl is an individual health care provider with primary practice located at 175 Gwinnett Dr , Lawrenceville GA 30045-8444. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Jackson, George Darryl can be contacted via phone (770) 339-2289.

Contact Information

Primary practice address
175 Gwinnett Dr Lawrenceville GA 30045-8444
Phone: (770) 339-2289
Fax: (770) 339-5016
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1578777876
LBN Legal business name Jackson, George Darryl
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Jul 8th, 2007 - about 19 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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