Individual
MISS MOREH JOY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
890 BURRUS RD, MACON, GA 31204-1441
(478) 330-7164
(478) 330-7167
Mailing address
601 ROSA TAYLOR DR, MACON, GA 31204-1271
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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