Individual provider · Type 1 NPI

Jackie Hornbeck Wall, LPC

Mental Health Counselor · Decatur, GA

NPI number 1487242335 Active

Practice location

317 W Hill St Ste 204A
Decatur, GA 30030-4367

Call (404) 518-3524 Map

Mailing address

315 Adams St
Decatur, GA 30030-5205

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XLPC010696 (GA)
Mental Health Counselor Primary 101YM0800XLPC010696 (GA)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1487242335

Jackie Hornbeck Wall, LPC's National Provider Identifier is 1487242335, issued on Jan 6, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Decatur, GA. The record was last updated on Jan 6, 2021.