TERRONDA LANAE JACKSON

BLYTHEWOOD, SC
NPI1992276810
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: SC  6574)
Additional Taxonomies101YM0800X Counselor Mental Health
(Licence: SC  6574)
101YP1600X Counselor Pastoral
(Licence: SC  6574)
101YP2500X Counselor Professional
(Licence: SC  6574)
251S00000X Community/Behavioral Health
(Licence: SC  6574)
Enumeration Date2018-12-17
Last Update Date2018-12-17
Business Address
MRS. TERRONDA LANAE JACKSON MA, LPCA
140 HUNTERS RUN DR
BLYTHEWOOD, SC 29016-9206
Phone number: 803-814-7115
Mailing Address
MRS. TERRONDA LANAE JACKSON MA, LPCA
140 HUNTERS RUN DR
BLYTHEWOOD, SC 29016-9206
Phone number: 302-265-5993