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1821336546
PRISCILLA JACKO
LAWRENCEVILLE, GA
NPI
1821336546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA APC003287)
Enumeration Date
2013-01-30
Last Update Date
2013-01-30
Business Address
Ms. PRISCILLA JACKO MA, LAPC, NCC
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
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Mailing Address
Ms. PRISCILLA JACKO MA, LAPC, NCC
412 SPRING CREEK LN
ATLANTA, GA 30350-6502
Phone number: 404-234-9635
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