JACQUELINE LATRICIA SLACK

ATLANTA, GA
NPI1871806992
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: GA  LPC005620)
Enumeration Date2010-07-18
Last Update Date2023-01-26
Business Address
JACQUELINE LATRICIA SLACK LPC, NCC
80 JOSEPH E LOWERY BLVD NW
ATLANTA, GA 30314-3421
Phone number: 404-226-7553
Mailing Address
JACQUELINE LATRICIA SLACK LPC, NCC
PO BOX 5810
ATLANTA, GA 31107-0810
Phone number: 404-226-7553