Individual
MRS. JULIANNE GRIFFIN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3168 MIDTOWN PARK S STE E, MOBILE, AL 36606-4123
(251) 216-9653
Mailing address
335 BRAWOOD DR, MOBILE, AL 36608-1535
(251) 610-6044
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4066
AL
Other
Enumeration date
03/13/2021
Last updated
03/13/2021
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