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Miss Trinicia Renee Lavon Jackson, LPC
Mental Health Counselor in Columbia, South Carolina
NPI 1033736202

Trinicia Renee Lavon Jackson is a Mental Health Counselor based in Columbia, SC and is specialized in Mental Health. Trinicia Renee Lavon Jackson practices in Columbia, SC and has the professional credentials of LPC. The NPI Number for Trinicia Renee Lavon Jackson is 1033736202 and holds a License No. 7802 (South Carolina).

The current practice location address for Trinicia Renee Lavon Jackson is 1105 Belleview St Ste 103, Columbia, SC and can be reached out via phone at 803-250-5570.

Location: 1105 Belleview St Ste 103, Columbia, SC, 29209-1732
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Provider Profile Details
NPI Number
1033736202
Provider Name
Trinicia Renee Lavon Jackson
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1105 Belleview St Ste 103, Columbia, SC, 29209-1732
Phone Number
803-250-5570
Fax Number
Provider Enumeration Date
07/02/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PC2451 05 SC
institution
Provider Business Practice Location Address Details
Address
1105 Belleview St Ste 103
City
State
Zip
29201-1839
Phone Number
803-250-5570
Fax Number
person
Provider Business Mailing Address Details
Address
1105 Belleview St Ste 103
City
State
Zip
29201-1839
Phone Number
803-250-5570
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
7802 (South Carolina)
Definition
Definition to come...
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