Individual
OMAYRA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
2506 LAMBERT DR, OPELIKA, AL 36801-7237
(334) 742-2700
(334) 742-2840
Mailing address
2506 LAMBERT DR, OPELIKA, AL 36801-7237
(334) 742-2718
(334) 742-2718
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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