Organization
FAMILY AND CHILDREN SUPPORT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIPLEY JACKSON (CEO)
(404) 909-2442
Entity
Organization
Contact information
Practice address
7306 GA HIGHWAY 21, STE 101-270, PORT WENTWORTH, GA 31407-9274
(404) 909-2442
Mailing address
7306 GA HIGHWAY 21, STE 101-270, PORT WENTWORTH, GA 31407-9274
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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