Individual provider · Type 1 NPI

Carla Jack, LCSW

Mental Health Counselor · Decatur, GA

NPI number 1992306989 Active

Practice location

4151 Memorial Dr Ste 209C
Decatur, GA 30032-1597

Call (404) 508-0078 Map

Fax (404) 508-0071

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCSW006674 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1992306989

Carla Jack, LCSW's National Provider Identifier is 1992306989, issued on Nov 5, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Decatur, GA. The record was last updated on Nov 5, 2020.