Individual provider · Type 1 NPI

Candace Smith Jackson, LPC

Mental Health Counselor · Greenville, SC

NPI number 1760773527 Active

Practice location

406 Parker Ivey Dr
Greenville, SC 29607-6513

Call (864) 395-6786 Map

Fax (864) 900-0452

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X5725 (SC)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1760773527

Candace Smith Jackson, LPC's National Provider Identifier is 1760773527, issued on Apr 28, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Greenville, SC. The record was last updated on Dec 21, 2022.