Individual provider · Type 1 NPI

Machelle Jackson

Mental Health Counselor · Holly Hill, SC

NPI number 1720651391 Active

Practice location

8423A Old State Rd
Holly Hill, SC 29059-8880

Call (803) 496-3324 Map

Mailing address

2319 Saint Matthews Rd
Orangeburg, SC 29118-2042

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1720651391

Machelle Jackson's National Provider Identifier is 1720651391, issued on Jul 21, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Holly Hill, SC. The record was last updated on Jul 21, 2021.