Individual
JANETTA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4720 WOODMERE BLVD, MONTGOMERY, AL 36106-3065
(334) 676-3773
Mailing address
179 BROOKWOOD DR, WETUMPKA, AL 36093-2717
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6146G
AL
Other
Enumeration date
07/23/2026
Last updated
07/23/2026
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