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Latisha Jackson
Mental Health Counselor in Florence, South Carolina
NPI 1831313170

Latisha Jackson is a Mental Health Counselor based in Florence, SC and is specialized in Mental Health. Latisha Jackson practices in Florence, SC. The NPI Number for Latisha Jackson is 1831313170 and holds a License No. (South Carolina).

The current practice location address for Latisha Jackson is 125 E Cheves St, Florence, SC and can be reached out via phone at 843-317-4089.

Location: 125 E Cheves St, Florence, SC, 29506-2526
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831313170
Provider Name
Latisha Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
125 E Cheves St, Florence, SC, 29506-2526
Phone Number
843-317-4089
Fax Number
Provider Enumeration Date
04/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
376241 05 SC
institution
Provider Business Practice Location Address Details
Address
125 E Cheves St
City
Florence
State
South Carolina
Zip
29506-2526
Phone Number
843-317-4089
Fax Number
person
Provider Business Mailing Address Details
Address
125 E Cheves St
City
Florence
State
South Carolina
Zip
29506-2526
Phone Number
843-317-4089
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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