IndividualActive
Jackson Rainer, PH.D.
NPI 1457388019 · Counseling Psychologist · Brookhaven, GA
Provider details
- NPI number
- 1457388019
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 1142 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3103 Clairmont Rd Ne Ste B
Brookhaven, GA 30329-1043
Phone: (404) 636-1457
Fax: (404) 636-7449
Approximate (ZIP-level) locationGet directions
Mailing address
1017 Fayetteville Rd Se Ste a
Atlanta, GA 30316-2932
Registry dates
- Enumerated
- 2006-06-27
- Last updated
- 2021-10-13
- Certified
- 2021-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.