| Tina L Jackson, | |
|
403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | |
| (843) 761-8282 | |
| (843) 761-7308 |
| Full Name | Tina L Jackson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 403 Stony Landing Rd, Moncks Corner, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639752207 | NPI | - | NPPES |
| 435201 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tina L Jackson, 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 Ph: (843) 761-8282 | Tina L Jackson, 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 Ph: (843) 761-8282 |
Kenneth Furman Howell, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1714 S Live Oak Dr, Moncks Corner, SC 29461 Phone: 843-879-4121 | |
Mr. John M Dorman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Stony Landing Rd, Moncks Corner, SC 29461 Phone: 843-761-8282 Fax: 843-761-7308 | |
Ms. Olivia Rachel Ward, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Stoney Landing Road, Moncks Corner, SC 29461 Phone: 843-761-8282 Fax: 843-761-7308 | |
Tina Jennings Okenfuss, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3508 S Live Oak Dr, Moncks Corner, SC 29461 Phone: 843-958-2590 | |
Dana Brooke Mandel, MA, LPC-I, CACP Counselor Medicare: Not Enrolled in Medicare Practice Location: 306 Airport Dr, Moncks Corner, SC 29461 Phone: 843-719-3000 | |
Amelia H Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Stony Landing Rd, Moncks Corner, SC 29461 Phone: 843-761-8282 Fax: 843-761-7308 | |
Takila L Frazier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Stoney Landing Road, Moncks Corner, SC 29461 Phone: 843-761-8282 Fax: 843-761-7308 |