Individual
JACQUELINE MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC, CAADC
Contact information
Practice address
654 MAIN ST, SUITE 6, THOMSON, GA 30824-7403
(706) 399-3332
Mailing address
P.O. BOX 1654, 654 MAIN ST STE 6, THOMSON, GA 30824-7422
(706) 399-3332
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
325391
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
C0138
GA
101YP2500X
Professional Counselor
Primary
LPC 00721
GA
Other
Enumeration date
09/13/2013
Last updated
10/24/2013
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