SearchGeorgia101YM0800X

Jacqueline Jackson, BSPM/BA/MSFP

NPI 1629935978 · on the registry since 2026

Practice

Address
174 Scholar Rd
Guyton, GA 31312
Phone
(912) 231-7061
Organisation at this address
Dr Crystal Malloy Phd Lpc Mac Ceap Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101Y00000X
261QM0801X
Sex
Female
Record last updated
2026-01-08

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