Organization
JACKSON FAMILY THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE JACKSON MCD, CCC-SLP (SPEECH PATHOLOGIST/OWNER)
(334) 477-3114
Entity
Organization
Contact information
Practice address
1630 ACADEMY DR APT 905, AUBURN, AL 36830-1711
(334) 477-3114
Mailing address
1630 ACADEMY DR APT 905, AUBURN, AL 36830-1711
(334) 477-3114
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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