Organization
ENJ COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY NANETTE JACKSON LPC, NCC, CSOTS (OWNER)
(706) 594-3458
Entity
Organization
Contact information
Practice address
200 N LEWIS ST, LAGRANGE, GA 30240-2738
(706) 887-5787
(706) 780-5402
Mailing address
371 ROSEMONT RD, LAGRANGE, GA 30241-9544
(706) 594-3458
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LPC006931
GA
Other
Enumeration date
07/26/2017
Last updated
03/04/2020
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