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
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 6391 (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.