Organization
FAMILY AND CHILDREN SUPPORT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENOSHIA R JACKSON (OWNER)
(800) 317-0364
Entity
Organization
Contact information
Practice address
1115 N COLUMBIA AVE, UNIT 4, RINCON, GA 31326-6825
(800) 317-0364
Mailing address
1115 N COLUMBIA AVE, UNIT 4, RINCON, GA 31326-6825
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/19/2016
Last updated
08/30/2016
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