Individual
NIAGET JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 SPEARS CREEK CHURCH RD APT 1206, ELGIN, SC 29045-8112
(843) 263-6152
Mailing address
325 SPEARS CREEK CHURCH RD APT 1206, ELGIN, SC 29045-8112
(843) 263-6152
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7885
SC
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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