Individual
MRS. SUSAN H. JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CAC II
Contact information
Practice address
410 UNIVERSITY PKWY, SUITE 2300, AIKEN, SC 29801-6807
(803) 335-1219
(803) 335-1689
Mailing address
410 UNIVERSITY PKWY, SUITE 2300, AIKEN, SC 29801-6807
(803) 335-1219
(803) 335-1689
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
002609
GA
101YP2500X
Professional Counselor
Primary
2477
SC
101YP2500X
Professional Counselor
LPC002609
GA
Other
Enumeration date
09/08/2009
Last updated
03/17/2015
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