MR. ANTOINE TREVOR JACKSON LAPC NPI 1881992006

NPI Information

MR. Antoine Trevor Jackson, LAPC is a counselor in Atlanta, GA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MR. Antoine Trevor Jackson, LAPC NPI is 1881992006. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1475 MECASLIN ST NW APT 7306
ATLANTA, GA
ZIP 30309-287
Phone: (404) 925-2276

The enumeration date for this NPI number is 3/11/2011 and was last updated on 3/11/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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