person
Loretta Patrice Jackson, LCSW
Mental Health Counselor in Brunswick, Georgia
NPI 1063171510

Loretta Patrice Jackson is a Mental Health Counselor based in Brunswick, GA and is specialized in Mental Health. Loretta Patrice Jackson practices in Brunswick, GA and has the professional credentials of LCSW. The NPI Number for Loretta Patrice Jackson is 1063171510 and holds a License No. CSW007274 (Georgia).

The current practice location address for Loretta Patrice Jackson is 323 Honeygal Rd, Brunswick, GA and can be reached out via phone at 191-224-2279.

Location: 323 Honeygal Rd, Brunswick, GA, 31525-5530
person
Provider Profile Details
NPI Number
1063171510
Provider Name
Loretta Patrice Jackson
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
323 Honeygal Rd, Brunswick, GA, 31525-5530
Phone Number
191-224-2279
Fax Number
Provider Enumeration Date
12/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
323 Honeygal Rd
City
State
Zip
31525-5530
Phone Number
191-224-2279
Fax Number
person
Provider Business Mailing Address Details
Address
323 Honeygal Rd
City
State
Zip
31525-5530
Phone Number
191-224-2279
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CSW007274 (Georgia)
Definition
Definition to come...
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