Individual
JESSICA LEIGH EASTERLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1106 MIRANDA LN SW, JACKSONVILLE, AL 36265-3735
(334) 763-1038
Mailing address
1106 MIRANDA LN SW, JACKSONVILLE, AL 36265-3735
(334) 763-1038
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4220G
AL
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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