Individual provider · Type 1 NPI

Tiffany Krystal Jackson

Mental Health Counselor · Orangeburg, SC

NPI number 1780936997 Active

Practice location

2319 Saint Matthews Rd
Orangeburg, SC 29118-2042

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1780936997

Tiffany Krystal Jackson's National Provider Identifier is 1780936997, issued on Oct 11, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Orangeburg, SC. The record was last updated on Oct 11, 2012.