person
Mycha I Jackson, LPC
Mental Health Counselor in Winnsboro, South Carolina
NPI 1649700329

Mycha I Jackson is a Mental Health Counselor based in Winnsboro, SC and is specialized in Mental Health. Mycha I Jackson practices in Winnsboro, SC and has the professional credentials of LPC. The NPI Number for Mycha I Jackson is 1649700329 and holds a License No. 9508 (South Carolina).

The current practice location address for Mycha I Jackson is 4866 Greenbrier Mossydale Rd, Winnsboro, SC and can be reached out via phone at 803-800-1701.

Location: 4866 Greenbrier Mossydale Rd, Winnsboro, SC, 29180-6523
person
Provider Profile Details
NPI Number
1649700329
Provider Name
Mycha I Jackson
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
4866 Greenbrier Mossydale Rd, Winnsboro, SC, 29180-6523
Phone Number
803-800-1701
Fax Number
Provider Enumeration Date
06/15/2017
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3335 01 SC MEDICARE PIN
421504 05 SC
institution
Provider Business Practice Location Address Details
Address
4866 Greenbrier Mossydale Rd
City
State
Zip
29180-6523
Phone Number
803-800-1701
Fax Number
person
Provider Business Mailing Address Details
Address
4866 Greenbrier Mossydale Rd
City
State
Zip
29180-6523
Phone Number
803-800-1701
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
9508 (South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
9508 (South Carolina)
Definition
Definition to come...
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