NICOLE SHELIE JACKSON

COLUMBUS, GA
NPI1972712446
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-05-22
Last Update Date2007-07-08
Business Address
Miss NICOLE SHELIE JACKSON M.S.
2100 COMER AVE
COLUMBUS, GA 31904-8725
Phone number: 706-596-5764
Mailing Address
Miss NICOLE SHELIE JACKSON M.S.
317 14TH AVE
PHENIX CITY, AL 36869-6951
Phone number: 334-480-0489