Search › Georgia › 101YP2500X
Mary Jackson, LPC
NPI 1699121129 · on the registry since 2016 · sole proprietor
Practice
- Address
- 345 Old Cuyler Rd
Ellabell, GA 31308 - Phone
- (912) 320-3205
Additional practice sites
- 6605 Abercorn Street, Savannah, GA
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YM0800X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-11-27
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