person
Carla Jack, LCSW
Mental Health Counselor in Decatur, Georgia
NPI 1992306989

Carla Jack is a Mental Health Counselor based in Decatur, GA and is specialized in Mental Health. Carla Jack practices in Decatur, GA and has the professional credentials of LCSW. The NPI Number for Carla Jack is 1992306989 and holds a License No. CSW006674 (Georgia).

The current practice location address for Carla Jack is 4151 Memorial Dr Ste 209C, Decatur, GA and can be reached out via phone at 404-508-0078 and via fax at 404-508-0071.

Location: 4151 Memorial Dr Ste 209C, Decatur, GA, 30032-1597
person
Provider Profile Details
NPI Number
1992306989
Provider Name
Carla Jack
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
4151 Memorial Dr Ste 209C, Decatur, GA, 30032-1597
Phone Number
404-508-0078
Fax Number
404-508-0071
Provider Enumeration Date
11/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4151 Memorial Dr Ste 209C
City
State
Zip
30032-1597
Phone Number
404-508-0078
Fax Number
404-508-0071
person
Provider Business Mailing Address Details
Address
4151 Memorial Dr Ste 209C
City
State
Zip
30032-1597
Phone Number
404-508-0078
Fax Number
404-508-0071
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CSW006674 (Georgia)
Definition
Definition to come...
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