ANTHONY DELJUAN JACKSON
NPI 1164235180
Counselor - Mental Health in Lawrenceville, GA
About Anthony Deljuan Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANTHONY DELJUAN JACKSON (NPI 1164235180) is an individual mental health provider in Lawrenceville, Georgia and active in the NPI registry since January 2025.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAWRENCEVILLE, GA 30046
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Anthony Jackson's NPI number?
The NPI number for Anthony Jackson is 1164235180. It was assigned to this individual provider in the NPPES registry on January 31, 2025.
Where is Anthony Jackson located?
Anthony Jackson practices at 175 Gwinnett Dr, Lawrenceville, GA 30046. The listed phone number is (678) 209-2394.
What is Anthony Jackson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Anthony Jackson was last updated on July 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
