Individual provider · Type 1 NPI

Amy Jackson, MA

Counselor · Charleston, SC

NPI number 1780117804 Active

Practice location

3590 Mary Ader Ave Apt 1021
Charleston, SC 29414-5792

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X6391 (SC)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1780117804

Amy Jackson, MA's National Provider Identifier is 1780117804, issued on Apr 5, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Charleston, SC. The record was last updated on Apr 5, 2017.