Provider Demographics
NPI:1861292435
Name:MCPHERSON, NASHON IJUNAYA
Entity type:Individual
Prefix:
First Name:NASHON
Middle Name:IJUNAYA
Last Name:MCPHERSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 PRESTWICK WAY S
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-6301
Mailing Address - Country:US
Mailing Address - Phone:478-235-6862
Mailing Address - Fax:
Practice Address - Street 1:135 PRESTWICK WAY S
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-6301
Practice Address - Country:US
Practice Address - Phone:478-235-6862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional