Individual
STEPHANIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2638 TWO NOTCH RD BLDG 114, COLUMBIA, SC 29204-1454
(803) 800-7848
Mailing address
2638 TWO NOTCH RD BLDG 114, COLUMBIA, SC 29204-1454
(803) 800-7848
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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