Individual provider · Type 1 NPI

Tara D. Jackson

Mental Health Counselor · North Charleston, SC

NPI number 1881787976 Active

Practice location

3601 Meeting Street Rd # C
North Charleston, SC 29405-7715

Call (843) 740-6136 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1881787976

Tara D. Jackson's National Provider Identifier is 1881787976, issued on Oct 2, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in North Charleston, SC. The record was last updated on Jul 8, 2007.