MISS Trinicia Renee Lavon Jackson, LPC
NPI #1033736202 in Columbia, South Carolina
Provider Information
- NPI Number
- 1033736202
- Entity Type
- Individual
- Name
- MISS Trinicia Renee Lavon Jackson, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPC
- Enumeration Date
- Jul 2, 2020
- Last Updated
- Sep 9, 2021
Practice Location
- Address
- 1105 BELLEVIEW ST STE 103
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29201-1839
- Phone
- (803) 250-5570
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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