| Loretta Patrice Jackson, LCSW | |
|
323 Honeygal Rd, Brunswick, GA 31525-5530 | |
| (191) 224-2279 | |
| Not Available |
| Full Name | Loretta Patrice Jackson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 323 Honeygal Rd, Brunswick, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063171510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CSW007274 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Loretta Patrice Jackson, LCSW 323 Honeygal Rd, Brunswick, GA 31525-5530 Ph: (191) 224-2279 | Loretta Patrice Jackson, LCSW 323 Honeygal Rd, Brunswick, GA 31525-5530 Ph: (191) 224-2279 |
Kristen A Keene, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 127 F St Ste 202, Brunswick, GA 31520 Phone: 912-319-4041 | |
Kendall Disa Boges, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1600 Ellis St, Brunswick, GA 31520 Phone: 912-289-1626 Fax: 912-289-2414 | |
Austin Gleaton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 502 Gloucester St Ste 204, Brunswick, GA 31520 Phone: 912-289-2497 | |
Heinrich Peter Tesch Von Cultz Ii, LIPC LIMFT MAC LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1638 Norwich Street, Brunswick, GA 31520 Phone: 912-342-7217 Fax: 912-342-7216 | |
Stephanie Roselind Wilson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3110 Parkwood Dr, Brunswick, GA 31520 Phone: 912-464-0830 | |
Mary Barnes, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Saint Andrews Ct, Brunswick, GA 31520 Phone: 912-257-5858 |