Individual
EMILY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
115 BLARNEY DR STE 102, COLUMBIA, SC 29223-6291
(803) 722-0490
Mailing address
801 SPRINGDALE RD, WEST COLUMBIA, SC 29170-2653
(803) 315-9119
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
16298
SC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/07/2023
Last updated
01/27/2025
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