Individual
MS. GABRIELLE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 CHASE RD NW, HUNTSVILLE, AL 35811-1119
(601) 606-9258
Mailing address
115 CHASE RD NW, HUNTSVILLE, AL 35811-1119
(601) 606-9258
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
2355S0801X
Speech-Language Assistant
244126
MS
Other
Enumeration date
02/24/2017
Last updated
03/21/2017
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