ADRIENNE MCGAHEE JACKSON


Address: 122 Cherry St., Marietta, GA 30060
Phone: 7704277441

ADRIENNE MCGAHEE JACKSON (NPI# 1679609036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679609036
Entity Type Individual
Full Name ADRIENNE MCGAHEE JACKSON
Credential LPC
Practice Address 122 Cherry St.
Marietta
GA 30060
Practice Telephone 7704277441
Practice Fax Number 7704222302
Mailing Telephone 7704277441
Mailing Fax Number 7704222302
Enumeration Date 2007-02-27
Last Update Date 2010-03-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
04539 GA Behavioral Health & Social Service Providers
N 103T00000X Psychologist 004539 GA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 214383008A 05

Other Providers ADRIENNE JACKSON

NPI Name Taxonomy Address Enumeration
1629588520 Adrienne Jackson Prosthetist 2005 Old Laurens Rd, Greenwood, SC 29649 2017-10-05
1679105928 Adrienne Jackson Behavior Technician 116 W Piccadilly St Ste 12, Winchester, VA 22601-3956 2020-02-05
1487199881 Adrienne Ann Jackson Nurse Practitioner 2620 Elm Hill Pike, Nashville, TN 37214-3108 2016-12-21
1952702698 Adrienne Jackson Speech-Language Pathologist 160 S Hollywood St, Memphis, TN 38112-4801 2014-09-12
1700129939 Adrienne Lee Jackson Pharmacist 5050 E Arapahoe Rd, Littleton, CO 80122-2302 2013-04-06

Office Location

Street Address 122 CHERRY ST.
City MARIETTA
State GA
Zip Code 30060

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144845116 Legacy Center for Spinal Surgery, LLC Neurological Surgery 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 2020-06-15
1407477193 Michael Cynil Daniel Counselor 698 N Marietta, Pkwy, Marietta, GA 30060 2020-05-04
1285253401 Cameron Thomas Kennelly Student in an Organized Health Care Education/Training Program 677 Church Street Ne Attn:gme, Marietta, GA 30060 2020-04-09
1922640739 Jeremiah George Blair Physician Assistant 61 Whitcher St Suite 2100, Marietta, GA 30060 2019-10-14
1164064945 Denise Alicia Mick Registered Nurse 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 2019-10-12
1184283772 Iora Health Georgia, P.C. Internal Medicine 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 2019-06-07
1346703212 Caitlin Virginia Mueller Student in an Organized Health Care Education/Training Program 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 2019-04-08
1184187205 Adero Francis Student in an Organized Health Care Education/Training Program Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 2019-04-08
1659832749 Matthew Mozzo Student in an Organized Health Care Education/Training Program 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 2019-03-29
1245797430 La'myia Spentz Specialist 109 Anderson St Ne, Suite 608, Marietta, GA 30060 2019-02-25
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659987238 Kimberly Wallace Lpc LLC Counselor 2852 Johnson Ferry Rd Ste 100, Marietta, GA 30062-5686 2020-09-19
1073128609 Alyssa May Rodriguez Counselor 2064 S Cove Trl, Marietta, GA 30066-1922 2020-09-10
1225642374 April G Lewis Counselor 1640 Powers Ferry Rd Se Bldg 20, Marietta, GA 30067-5491 2020-09-06
1336751890 Brandi Lynne Neogra Counselor 207 Colegate Dr Ste D, Marietta, OH 45750-2363 2020-08-17
1427672575 Monique T Jones Counselor 2480 Windy Hill Rd Se Ste 105, Marietta, GA 30067-8608 2020-06-04
1588288864 Patrick Wilson Counselor 1744 Roswell Rd Ste 102, Marietta, GA 30062-3979 2020-06-03
1407477193 Michael Cynil Daniel Counselor 698 N Marietta, Pkwy, Marietta, GA 30060 2020-05-04
1851928857 Patricia Li Zerman Counselor 1373 Old Virginia Ct Se, Marietta, GA 30067-8461 2020-03-27
1467089227 Catherine Ibarra Counselor 1640 Powers Ferry Rd Se # 300, Marietta, GA 30067-5491 2020-03-23
1306487970 Brooke Lopes Counselor 2655 Dallas Hwy Sw Ste 230, Marietta, GA 30064-2597 2019-10-03
Find all providers in MARIETTA

Competitor

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City MARIETTA
Zip Code 30060

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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