Individual
SHARAYAH CHRISTIAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1403 CALHOUN ST, COLUMBIA, SC 29201-2509
(803) 727-2479
Mailing address
10120 TWO NOTCH ROAD, SUITE 2 BOX 187, COLUMBIA, SC 29223-3788
(803) 999-6804
(803) 753-5591
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6788
SC
Other
Enumeration date
08/11/2014
Last updated
10/25/2021
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