Individual provider · Type 1 NPI
Mycha I. Jackson, LPC
Professional Counselor · Winnsboro, SC
NPI number
1649700329
Active
Practice location
4866 Greenbrier Mossydale Rd
Winnsboro, SC 29180-6523
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 9508 (SC) |
| Mental Health Counselor | 101YM0800X | 9508 (SC) |
Professional Counselor: Definition to come...
Other professional counselor providers in Winnsboro
About NPI 1649700329
Mycha I. Jackson, LPC's National Provider Identifier is 1649700329, issued on Jun 15, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Winnsboro, SC. The record was last updated on Oct 10, 2024.