Individual
JENNIFER JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCS
Contact information
Practice address
1028 TERACOTTA DR, CHARLESTON, SC 29407-8200
(843) 619-7353
Mailing address
1028 TERACOTTA DR, CHARLESTON, SC 29407-8200
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8638
SC
Other
Enumeration date
04/24/2017
Last updated
08/14/2025
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