Individual provider · Type 1 NPI
Jaquinda Jackson
Counselor · Simpsonville, SC
NPI number
1508397548
Active
Practice location
638 Timber Walk Dr
Simpsonville, SC 29681-4554
Mailing address
309 SE Main St, Suite 207
Simpsonville, SC 29681-2653
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 6505 (SC) |
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 1508397548
Jaquinda Jackson's National Provider Identifier is 1508397548, issued on Mar 22, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Simpsonville, SC. The record was last updated on May 1, 2017.