| NPI | 1083171896 |
|---|---|
| Professional Name | BILLY COTTRELL-JACKSON |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC012968) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401224328) |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2025-07-01 |