# JACKSON COUNSELING SOLUTIONS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255188421
- **Authorized official:** STACEY JACKSON LICSW, PIP (OWNER)
- **Authorized official phone:** (205) 587-1733

## Contact information

- **Practice address:** 9238 MADISON BLVD STE 835, MADISON, AL 35758-9101
- **Practice address phone:** (256) 363-6578
- **Mailing address:** 306 HONOR WAY, MADISON, AL 35758-6280
- **Mailing address phone:** (205) 587-1733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 05/04/2024
- **Last updated:** 05/25/2024