LAVONNA WINFREDA OWENS-JACKSON

STONE MOUNTAIN, GA
NPI1891439337
Other NameLAVONNA SMALL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: GA  LPC008416)
Enumeration Date2022-04-21
Last Update Date2022-04-21
Business Address
Ms. LAVONNA WINFREDA OWENS-JACKSON LPC, CCM
1192 ROCKBRIDGE RD STE A
STONE MOUNTAIN, GA 30087-2923
Phone number: 770-925-2010
Mailing Address
Ms. LAVONNA WINFREDA OWENS-JACKSON LPC, CCM
3040 LAKESIDE CIR
COVINGTON, GA 30016-8892
Phone number: 678-478-5860
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