JACQUELIN WILSON

MACON, GA
NPI1437505021
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor Professional
(Licence: GA  LPC008703)
Enumeration Date2016-05-12
Last Update Date2016-05-12
Business Address
MRS. JACQUELIN WILSON LPC
144 PIERCE AVE
MACON, GA 31204-2860
Phone number: 478-475-4608
Mailing Address
MRS. JACQUELIN WILSON LPC
144 PIERCE AVE
MACON, GA 31204-2860
Phone number: 478-475-4608