Organization
MARVELOUS LIGHT CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEWANDA B. JACKSON MS LPC (CEO)
(404) 286-0054
Entity
Organization
Contact information
Practice address
4484 COVINGTON HWY, SUITE 100A, DECATUR, GA 30035-1203
(404) 286-0054
(404) 286-0064
Mailing address
PO BOX 1501, LITHONIA, GA 30058-1007
(404) 286-0054
(404) 286-0064
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC002390
GA
Other
Enumeration date
02/01/2007
Last updated
06/19/2008
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