Individual provider · Type 1 NPI

Tracey Ann Jackson, LBSW

Mental Health Counselor · Greenwood, SC

NPI number 1861643389 Active

Practice location

1547 Parkway Ste 100
Greenwood, SC 29646-4081

Mailing address

2413 Cedar Spgs S
Abbeville, SC 29620-6246

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1861643389

Tracey Ann Jackson, LBSW's National Provider Identifier is 1861643389, issued on Oct 2, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Greenwood, SC. The record was last updated on Oct 2, 2008.