Individual provider · Type 1 NPI

Stephanie Jackson

Counselor · Columbia, SC

NPI number 1003763236 Active

Practice location

2638 Two Notch Rd Bldg 114
Columbia, SC 29204-1454

Call (803) 800-7848 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1003763236

Stephanie Jackson's National Provider Identifier is 1003763236, issued on Mar 16, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Columbia, SC. The record was last updated on Mar 16, 2026.