Carla Jack, LCSW is a mental health counselor in Decatur, GA. Carla Jack, LCSW NPI is 1992306989. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
4151 MEMORIAL DR STE 209C
DECATUR, GA
ZIP 30032-597
Phone: (404) 508-0078
Fax: (404) 508-0071
The NPI 1992306989 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The enumeration date for this NPI number is 11/5/2020 and was last updated on 11/5/2020.