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Jackielene Annette Nevilles
Counselor in Columbus, Georgia
NPI 1396213179

Jackielene Annette Nevilles is a Counselor based in Columbus, GA. Jackielene Annette Nevilles practices in Columbus, GA. The NPI Number for Jackielene Annette Nevilles is 1396213179 and holds a License No. (Georgia).

The current practice location address for Jackielene Annette Nevilles is 2100 Comer Ave, Columbus, GA and can be reached out via phone at 706-324-4061.

Location: 2100 Comer Ave, Columbus, GA, 31904-8725
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396213179
Provider Name
Jackielene Annette Nevilles
Credential
Provider Entity Type
Individual
Gender
Female
Address
2100 Comer Ave, Columbus, GA, 31904-8725
Phone Number
706-324-4061
Fax Number
Provider Enumeration Date
11/09/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
58-2108870 05 GA
institution
Provider Business Practice Location Address Details
Address
2100 Comer Ave
City
Columbus
State
Georgia
Zip
31904-8725
Phone Number
706-324-4061
Fax Number
person
Provider Business Mailing Address Details
Address
2100 Comer Ave
City
Columbus
State
Georgia
Zip
31904-8725
Phone Number
706-324-4061
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(Georgia)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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