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Jaquinda Jackson
Counselor in Simpsonville, South Carolina
NPI 1508397548

Jaquinda Jackson is a Counselor based in Simpsonville, SC. Jaquinda Jackson practices in Simpsonville, SC. The NPI Number for Jaquinda Jackson is 1508397548 and holds a License No. 6505 (South Carolina).

The current practice location address for Jaquinda Jackson is 638 Timber Walk Dr, Simpsonville, SC and can be reached out via phone at 864-451-9443. You can also correspond with Jaquinda Jackson through the mailing address at 309 SE MAIN ST, SIMPSONVILLE, SC - 29681-2653 (mailing address contact number: 864-451-9443).

Location: 638 Timber Walk Dr, Simpsonville, SC, 29681-2653
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508397548
Provider Name
Jaquinda Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
638 Timber Walk Dr, Simpsonville, SC, 29681-2653
Phone Number
864-451-9443
Fax Number
Provider Enumeration Date
03/22/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
638 Timber Walk Dr
City
Simpsonville
State
South Carolina
Zip
29681-4554
Phone Number
864-451-9443
Fax Number
person
Provider Business Mailing Address Details
Address
309 Se Main St
City
Simpsonville
State
South Carolina
Zip
29681-2653
Phone Number
864-451-9443
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
6505 (South Carolina)
Definition
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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