Search › Georgia › 101YM0800X
Jackie Wall, LPC
NPI 1487242335 · on the registry since 2021 · sole proprietor
Practice
- Address
- 317 W Hill St Ste 204a
Decatur, GA 30030 - Phone
- (404) 518-3524
- Organisation at this address
- Paul Saros Llc
Self Love Center
Steady Hope, Llc
Amanda Losito Llc
Gaia Counseling, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 30
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101Y00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-01-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia