Individual provider · Type 1 NPI

Adina Jackson

Mental Health Counselor · Simpsonville, SC

NPI number 1508317025 Active

Practice location

20 Powderhorn Rd
Simpsonville, SC 29681-3399

Call (864) 963-3421 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1508317025

Adina Jackson's National Provider Identifier is 1508317025, issued on Oct 19, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Simpsonville, SC. The record was last updated on Oct 19, 2016.