NPI 1043232655

Roberta D Jackson, MACOUNSELING

Practitioner Mental Health Counselor Orangeburg, SC

Practice location

Address: 2316 St Matthews Road, Orangeburg, SC 29118
Phone: (803) 536-1571
Fax: (803) 536-1463
Mailing address: 2319 St Matthews Road, Orangeburg, SC 29118

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Other Counselor providers in South Carolina →

Registry record

NPI: 1043232655
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jul 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.