IndividualActive
Evelyn Jackson, LCSW
NPI 1275625568 · Military Health Care Provider · Columbus, GA
Provider details
- NPI number
- 1275625568
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- LCSW (LA)
Specialties & taxonomies
Other Service Providers
Practice location
209 Miller Loop
Fort Benning
Columbus, GA 31905-6560
Phone: (706) 545-1661
Approximate (ZIP-level) locationGet directions
Mailing address
209 Miller Loop
Columbus, GA 31905-6560
Registry dates
- Enumerated
- 2006-09-28
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.