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MS. CASSONDRA JACKSON APC
NPI 1346633229
Counselor - Mental Health in Grayson, GA

Active since March 16, 2015
1076 HAWTHORN LN, GRAYSON, GA 30017(678) 492-9332 Get Directions Write a Review

NPPES record last updated: March 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Cassondra Jackson Apc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. CASSONDRA JACKSON APC (NPI 1346633229) is an individual mental health provider in Grayson, Georgia, licensed in Georgia (APC004749) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1346633229
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. CASSONDRA JACKSONCredential: APC
Location Address1076 HAWTHORN LNGrayson, GA 30017-4208
Mailing Address1076 Hawthorn LnGrayson, GA 30017-4208 · (678) 492-9332
Phone(678) 492-9332
Sole ProprietorNo
Enumeration DateMarch 16, 2015
✔ NPI 1346633229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in GA · APC004749
1076 HAWTHORN LN, Grayson, GA 30017
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PASSION 4 KIDS, LLC
Counselor (Mental Health)
1076 HAWTHORN LN
GRAYSON, GA 30017
Gwinnett County (678) 492-9332

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 Cassondra Jackson's NPI number?

The NPI number for Cassondra Jackson is 1346633229. It was assigned to this individual provider in the NPPES registry on March 16, 2015.

Where is Cassondra Jackson located?

Cassondra Jackson practices at 1076 Hawthorn Ln, Grayson, GA 30017. The listed phone number is (678) 492-9332.

What is Cassondra 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 Cassondra Jackson was last updated on March 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.