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Linda Teresa Jackosn
Mental Health Counselor in Lake City, South Carolina
NPI 1770927386

Linda Teresa Jackosn is a Mental Health Counselor based in Lake City, SC and is specialized in Mental Health. Linda Teresa Jackosn practices in Lake City, SC. The NPI Number for Linda Teresa Jackosn is 1770927386 and holds a License No. (South Carolina).

The current practice location address for Linda Teresa Jackosn is 675 N Matthews Rd, Lake City, SC and can be reached out via phone at 843-394-7600.

Location: 675 N Matthews Rd, Lake City, SC, 29560-7027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770927386
Provider Name
Linda Teresa Jackosn
Credential
Provider Entity Type
Individual
Gender
Female
Address
675 N Matthews Rd, Lake City, SC, 29560-7027
Phone Number
843-394-7600
Fax Number
Provider Enumeration Date
04/25/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3337 01 SC MEDICARE
376421 05 SC
institution
Provider Business Practice Location Address Details
Address
675 N Matthews Rd
City
Lake City
State
South Carolina
Zip
29560-7027
Phone Number
843-394-7600
Fax Number
person
Provider Business Mailing Address Details
Address
675 N Matthews Rd
City
Lake City
State
South Carolina
Zip
29560-7027
Phone Number
843-394-7600
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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