Individual
LEDASHA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1035 WINDSOR DR, MONROE, GA 30656-4791
(678) 558-3056
Mailing address
1035 WINDSOR DR, MONROE, GA 30656-4791
(678) 558-3056
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/05/2021
Last updated
07/05/2021
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