Organization
JACKSON CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA FAYE JACKSON PH.D. (OWNER, CLINICAL PSYCHOLOGIST)
(205) 999-3701
Entity
Organization
Contact information
Practice address
1 CHASE CORPORATE CENTER DRIVE, SUITE 400, BIRMINGHAM, AL 35244
(205) 313-6432
(205) 313-6431
Mailing address
5780 HERITAGE PARK DR, MC CALLA, AL 35111-3490
(205) 313-6432
(205) 313-6431
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1322
AL
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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