| NPI | 1083171896 |
|---|---|
| Professional Name | BILLY COTTRELL-JACKSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC0129) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA APC006552) |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2023-05-02 |