| Mycha I Jackson, LPC | |
|
4866 Greenbrier Mossydale Rd, Winnsboro, SC 29180-6523 | |
| (803) 800-1701 | |
| Not Available |
| Full Name | Mycha I Jackson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 4866 Greenbrier Mossydale Rd, Winnsboro, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649700329 | NPI | - | NPPES |
| 3335 | Other | SC | MEDICARE PIN |
| 421504 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 9508 (South Carolina) | Primary |
| 101YM0800X | Counselor - Mental Health | 9508 (South Carolina) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mycha I Jackson, LPC 4866 Greenbrier Mossydale Rd, Winnsboro, SC 29180-6523 Ph: (803) 800-1701 | Mycha I Jackson, LPC 4866 Greenbrier Mossydale Rd, Winnsboro, SC 29180-6523 Ph: (803) 800-1701 |
Carrie Coles, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Calhoun St, Winnsboro, SC 29180 Phone: 803-635-2335 | |
Renada Richardson, M.A., CACP-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Calhoun St, Winnsboro, SC 29180 Phone: 803-635-2335 Fax: 803-635-9665 | |
Cheryl A. Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 511 W Moultrie St, Winnsboro, SC 29180 Phone: 803-712-1649 | |
Ms. Sharon Marion Lovelace, Counselor Medicare: Not Enrolled in Medicare Practice Location: 511 W Moultrie St, Winnsboro, SC 29180 Phone: 803-712-1649 Fax: 809-712-6960 | |
Ms. Eliza A Boulware, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Calhoun St, Winnsboro, SC 29180 Phone: 803-635-2335 Fax: 803-635-9695 | |
Adrian L. Odom, MA, CAC1-P Counselor Medicare: Not Enrolled in Medicare Practice Location: 178 Us Highway 321 Bypass N., Winnsboro, SC 29180 Phone: 803-635-2335 | |
Tiera Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 178 Us Highway 321 Byp N, Winnsboro, SC 29180 Phone: 803-635-2335 |