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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. TERRONDA LANAE JACKSON, MA, LPCA

Active Sole Proprietor

MRS. TERRONDA LANAE JACKSON, MA, LPCA is a Counselor healthcare provider located in BLYTHEWOOD, South Carolina. NPI 1992276810 is currently active in the NPPES registry. Verify at CMS.

Counselor · BLYTHEWOOD, SC

Registration Details

NPI Number
1992276810
Provider Type
Individual
Gender
Female
NPI Issued
Dec 17, 2018 (7.633206685821 yrs)
Last Updated
Dec 17, 2018
Licenses
6574 (SC)
6574 (SC)
6574 (SC)
6574 (SC)
6574 (SC)
Sole Proprietor
Yes

Practice Information

Address
140 HUNTERS RUN DR
BLYTHEWOOD, SC, 290169206
Browse SC providers · Browse ZIP 29016
Phone
8038147115
Primary Specialty
Counselor
101Y00000X
Additional Specialty
Pastoral Counselor
Additional Specialty
Professional Counselor
Additional Specialty
Community/Behavioral Health
Additional Specialty
Counselor

Other Counselor Providers in BLYTHEWOOD, SC

Name Credential NPI
JILL CROSSGROVE MA, LPC, LPCS, LAC 1346613726
VICTORIA CASPER 1841753985
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.