| Miss Trinicia Renee Lavon Jackson, LPC | |
|
1105 Belleview St Ste 103, Columbia, SC 29201-1839 | |
| (803) 250-5570 | |
| Not Available |
| Full Name | Miss Trinicia Renee Lavon Jackson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1105 Belleview St Ste 103, Columbia, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033736202 | NPI | - | NPPES |
| PC2451 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 7802 (South Carolina) | Primary |
| 101YM0800X | Counselor - Mental Health | 7112 (South Carolina) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Trinicia Renee Lavon Jackson, LPC 6530 Davidson St Apt C1, Columbia, SC 29209-1732 Ph: (803) 447-3949 | Miss Trinicia Renee Lavon Jackson, LPC 1105 Belleview St Ste 103, Columbia, SC 29201-1839 Ph: (803) 250-5570 |
Dr. Larry Barker, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Cardiff St, Columbia, SC 29209 Phone: 803-447-5585 | |
Mr. Carlton A Andrews Iii, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2611 River Dr, Columbia, SC 29201 Phone: 803-446-4905 Fax: 803-771-6685 | |
Brenda Brooks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3809 Rosewood Dr, Columbia, SC 29205 Phone: 803-786-1844 | |
Y'ticcia Y Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2715 Colonial Dr, Columbia, SC 29203 Phone: 803-898-4777 | |
Ashley Chapman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2711 Colonial Dr, Columbia, SC 29203 Phone: 803-726-9376 Fax: 803-726-9485 | |
Nijoku Odom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2711 Colonial Dr, Columbia, SC 29203 Phone: 803-726-9351 | |
Timothy Goode, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 Village Walk, Columbia, SC 29209 Phone: 417-343-9846 |