Individual provider · Type 1 NPI

Tabitha Jackson

Mental Health Counselor · Greenwood, SC

NPI number 1619347028 Active

Practice location

1547 Parkway
Greenwood, SC 29646-4081

Fax (864) 229-5526

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1619347028

Tabitha Jackson's National Provider Identifier is 1619347028, issued on Sep 28, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Greenwood, SC. The record was last updated on Sep 28, 2015.