Individual
MS. NIKESHA D JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2712 MIDDLEBURG DR STE 206, COLUMBIA, SC 29204-2415
(803) 779-0169
Mailing address
3946 DAVIES DR, COLUMBIA, SC 29223-4775
(843) 324-3584
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5125
SC
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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