Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY L JACKSON, LPC
Active Sole ProprietorSTACEY L JACKSON, LPC is a Professional Counselor healthcare provider located in PACOLET, South Carolina. NPI 1790926905 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · PACOLET, SC
Registration Details
- NPI Number
- 1790926905
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 18, 2009 (17.385292805558 yrs)
- Last Updated
- May 7, 2025
- License
-
LPC.5354 PC (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
131 CAMERON STPACOLET, SC, 293722838Browse SC providers · Browse ZIP 29372
- Phone
- 8643989322
- Fax
- 8887071002
- Primary Specialty
-
Professional Counselor
101YP2500X
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.