Individual
DARREN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
178 US HIGHWAY 321 BYPASS N, WINNSBORO, SC 29180
(803) 635-2335
Mailing address
PO BOX 388, WINNSBORO, SC 29180-0388
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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