KYLIAH LANEICE JACKSON

COLUMBIA, SC
NPI1871082438
Professional NameKYLIAH LANEICE THOMPSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  29403)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: MN  29403)
101YM0800X Counselor, Mental Health
(Licence: SC  17505)
1041C0700X Social Worker, Clinical
(Licence: SC  17505)
106S00000X Behavior Technician
Enumeration Date2018-05-08
Last Update Date2025-02-24
Business Address
KYLIAH LANEICE JACKSON LISW-CP
1 RICE POINTE CT
COLUMBIA, SC 29203-9025
Phone number: 708-675-9061
Mailing Address
KYLIAH LANEICE JACKSON LISW-CP
1 RICE POINTE CT
COLUMBIA, SC 29203-9025
Phone number: 708-675-9061