Jackson, Adrienne Michelle

Jackson, Adrienne Michelle is an individual health care provider with primary practice located at 29 Flint Way , Blythewood SC 29016-5827. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jackson, Adrienne Michelle can be contacted via phone (803) 920-3946.

Contact Information

Primary practice address
29 Flint Way Blythewood SC 29016-5827
Phone: (803) 920-3946
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 16273 South Carolina

Profile Details

NPI number 1992456784
LBN Legal business name Jackson, Adrienne Michelle
Credentials LISW-CP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2022
Last updated Aug 24th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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