Individual provider · Type 1 NPI

Latonya Demetria Jackson, CAC II

Addiction (Substance Use Disorder) Counselor · Columbia, SC

NPI number 1750710174 Active

Practice location

2711 Colonial Dr
Columbia, SC 29203-6818

Call (803) 726-9300 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1750710174

Latonya Demetria Jackson, CAC II's National Provider Identifier is 1750710174, issued on Nov 6, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Columbia, SC. The record was last updated on Nov 6, 2013.