Individual provider · Type 1 NPI
Jennifer Shackelford, LPC, CAC II
Professional Counselor · Chapin, SC
NPI number
1144652991
Active
Practice location
121 Woodglen Ln
Chapin, SC 29036-7513
Fax (803) 407-0819
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1112215 (SC) |
| Professional Counselor Primary | 101YP2500X | 2195 (SC) |
Professional Counselor: Definition to come...
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About NPI 1144652991
Jennifer Shackelford, LPC, CAC II's National Provider Identifier is 1144652991, issued on Aug 4, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chapin, SC. The record was last updated on Aug 4, 2013.