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Mrs. Terronda Lanae Jackson, MA,LPCA
Counselor in Blythewood, South Carolina
NPI 1992276810

Terronda Lanae Jackson is a Counselor based in Blythewood, SC. Terronda Lanae Jackson practices in Blythewood, SC and has the professional credentials of MA,LPCA. The NPI Number for Terronda Lanae Jackson is 1992276810 and holds a License No. 6574 (South Carolina).

The current practice location address for Terronda Lanae Jackson is 140 Hunters Run Dr, Blythewood, SC and can be reached out via phone at 803-814-7115.

Location: 140 Hunters Run Dr, Blythewood, SC, 29016-9206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992276810
Provider Name
Terronda Lanae Jackson
Credential
MA,LPCA
Provider Entity Type
Individual
Gender
Female
Address
140 Hunters Run Dr, Blythewood, SC, 29016-9206
Phone Number
803-814-7115
Fax Number
Provider Enumeration Date
12/17/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6574 01 SC LPCA
1045081474 01 TRICARE PRIME
institution
Provider Business Practice Location Address Details
Address
140 Hunters Run Dr
City
Blythewood
State
South Carolina
Zip
29016-9206
Phone Number
803-814-7115
Fax Number
person
Provider Business Mailing Address Details
Address
140 Hunters Run Dr
City
Blythewood
State
South Carolina
Zip
29016-9206
Phone Number
803-814-7115
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
6574 (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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
6574 (South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
101YP1600X
License No.
6574 (South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
6574 (South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
6574 (South Carolina)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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