Organization
LIFE SOLUTIONS COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE JACKSON LCSW (CLINICIAN)
(478) 796-2947
Entity
Organization
Contact information
Practice address
146 PIERCE AVE, MACON, GA 31204-2871
(478) 796-2947
(478) 210-2170
Mailing address
146 PIERCE AVE, MACON, GA 31204-2871
(478) 796-2947
(478) 210-2170
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/03/2019
Last updated
01/12/2020
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