Stacey L Jackson, LPC is a
Counselor - Professional based in Pacolet, South Carolina. Stacey L Jackson is licensed to practice in South Carolina (license number LPC.5354 PC) and her current practice location is
191 Memorial Dr, Pacolet, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(864) 398-9322.
NPI number for Stacey L Jackson is 1790926905 and her current mailing address is 191 Memorial Dr, Pacolet, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790926905.
Healthcare Provider's Profile
Full Name | Stacey L Jackson |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 191 Memorial Dr, Pacolet, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790926905
- Provider Enumeration Date: 03/18/2009
- Last Update Date: 01/29/2019
Medical Identifiers
Medical identifiers for Stacey L Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790926905 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | LPC.5354 PC (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacey L Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Stacey L Jackson, LPC 191 Memorial Dr, Pacolet, SC 29372-2255 Ph: (864) 398-9322 | Stacey L Jackson, LPC 191 Memorial Dr, Pacolet, SC 29372-2255 Ph: (864) 398-9322 |
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