Individual
LASHAY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
557 GLOVER AVE STE 3, ENTERPRISE, AL 36330-2070
(334) 308-2292
Mailing address
2053 ARROWGRASS DR, WESLEY CHAPEL, FL 33544-4705
(404) 998-3983
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
04865
AL
Other
Enumeration date
02/25/2022
Last updated
08/27/2024
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