Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARIE JACKA, LISW
Active Sole ProprietorMARIE JACKA, LISW is a Addiction (Substance Use Disorder) Counselor healthcare provider located in LUGOFF, South Carolina. NPI 1134327810 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · LUGOFF, SC
Registration Details
- NPI Number
- 1134327810
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 5, 2007 (19.085857644083 yrs)
- Last Updated
- Jan 26, 2012
- Licenses
-
8484 (SC)8484 (SC)8484 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1341 OLD FIELD RDLUGOFF, SC, 290789012Browse SC providers · Browse ZIP 29078
- Phone
- 8034273241
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Clinical Social Worker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.