Individual provider · Type 1 NPI

Mary H. Jackson, LPC

Professional Counselor · Metter, GA

NPI number 1578623955 Active

Practice location

Route 1
Metter, GA 30439

Fax (912) 685-6545

Mailing address

RR 1 Box 298
Metter, GA 30439-9703

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X1843 (GA)

Professional Counselor: Definition to come...

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About NPI 1578623955

Mary H. Jackson, LPC's National Provider Identifier is 1578623955, issued on Dec 8, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Metter, GA. The record was last updated on Jul 8, 2007.