Individual
KARLA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2795 MAIN ST W, STE 20B, SNELLVILLE, GA 30078-3164
(678) 344-7836
Mailing address
3665 CLUB DR, STE 107, DULUTH, GA 30096-1806
(678) 288-6550
(800) 609-0965
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005856
GA
Other
Enumeration date
07/24/2011
Last updated
07/24/2011
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