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Valerie Cannon Jackson

Counselor in Griffin, GA. Individual provider (NPI-1).

NPI number1952941007
StatusActive
Last updated in NPPESJan 7, 2020

Details

NPI
1952941007
Entity type
Individual (NPI-1)
Name
Valerie Cannon Jackson
Sex
Female
Sole proprietor
No
Enumeration date
Jan 7, 2020
Certification date
Jan 7, 2020
Last updated
Jan 7, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes

Practice location

1815 N Expressway Ste B
Griffin, GA 30223-1185

Phone 678-408-4622

Mailing address

1815 N Expressway Ste B
Griffin, GA 30223-1185

Phone 678-408-4622

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