Individual
MS. CANDACE SMITH JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
406 PARKER IVEY DR, GREENVILLE, SC 29607-6513
(864) 395-6786
(864) 900-0452
Mailing address
406 PARKER IVEY DR, GREENVILLE, SC 29607-6513
(864) 395-6786
(864) 900-0452
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
5725
SC
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/28/2011
Last updated
12/21/2022
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