Individual
ARTHENIUS JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
702 S COIT ST STE 8, FLORENCE, SC 29501-5113
(910) 849-1199
Mailing address
702 S COIT ST STE 8, FLORENCE, SC 29501-5113
(910) 849-1199
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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