Individual provider · Type 1 NPI

Terronda Lanae Jackson, MA, LPCA

Counselor · Blythewood, SC

NPI number 1992276810 Active

Practice location

140 Hunters Run Dr
Blythewood, SC 29016-9206

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X6574 (SC)
Pastoral Counselor 101YP1600X6574 (SC)
Professional Counselor 101YP2500X6574 (SC)
Community/Behavioral Health Agency 251S00000X6574 (SC)
Counselor Primary 101Y00000X6574 (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 1992276810

Terronda Lanae Jackson, MA, LPCA's National Provider Identifier is 1992276810, issued on Dec 17, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Blythewood, SC. The record was last updated on Dec 17, 2018.