Individual provider · Type 1 NPI

Norward Earl Jackson

Mental Health Counselor · Blythewood, SC

NPI number 1871612002 Active

Practice location

200 Claude Bundrick Rd, Kiva
Blythewood, SC 29016-9420

Call (803) 754-5478 Map

Fax (803) 754-9644

Mailing address

817 Seton Rd
Columbia, SC 29212-3361

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1871612002

Norward Earl Jackson's National Provider Identifier is 1871612002, issued on Mar 28, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Blythewood, SC. The record was last updated on Jul 8, 2007.