Individual
JACKIE HOLLIDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1246 BUILD C CONCORD ROAD, SUITE 103, SMYRNA, GA 30080
(770) 422-4082
(770) 422-4082
Mailing address
1246-C CONCORD ROAD, SUITE 103, SMYRNA, GA 30080
(770) 422-4082
(770) 422-4082
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
004904
GA
Other
Enumeration date
02/06/2008
Last updated
09/24/2008
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