LARISSA JACKSON

ATHENS, GA
NPI1073230736
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: GA  LPC009037)
Enumeration Date2022-10-24
Last Update Date2022-10-24
Business Address
LARISSA JACKSON MS
1720 LEXINGTON RD STE A
ATHENS, GA 30605-2330
Phone number: 706-543-3522
Mailing Address
LARISSA JACKSON MS
1720 LEXINGTON RD STE A
ATHENS, GA 30605-2330
Phone number: 706-543-3522
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