Individual
REBECCA JO JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
25 SPRINGDALE DR, TRAVELERS REST, SC 29690-2159
(864) 610-0658
Mailing address
PO BOX 504, TRAVELERS REST, SC 29690-0504
(864) 610-0658
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
17497
NC
101YP2500X
Professional Counselor
8204
SC
Other
Enumeration date
07/07/2008
Last updated
09/09/2024
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