Individual
MRS. DARLA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 PATRIOT WAY, WARNER ROBINS, GA 31088-5653
(910) 689-5180
Mailing address
104 BORDERS WAY STE 500, WARNER ROBINS, GA 31088-8967
(910) 689-5190
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC011852
GA
Other
Enumeration date
11/25/2014
Last updated
04/13/2025
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