Individual
LAURA GAIL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
2046 CLUBVIEW ST, MONTGOMERY, AL 36106-1625
(334) 322-4437
(334) 460-9814
Mailing address
2046 CLUBVIEW ST, MONTGOMERY, AL 36106-1625
(334) 354-5361
(334) 460-9814
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ALC04727
AL
Other
Enumeration date
03/25/2024
Last updated
06/17/2025
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