Individual
LEIGH ANN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16202 LOG CABIN RD, ATHENS, AL 35611-8152
(256) 777-2095
Mailing address
16202 LOG CABIN RD, ATHENS, AL 35611-8152
(256) 777-2095
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5973C
AL
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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