Marie Jacka, LISW
NPI #1134327810 in Lugoff, South Carolina
Provider Information
- NPI Number
- 1134327810
- Entity Type
- Individual
- Name
- Marie Jacka, LISW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LISW
- Enumeration Date
- Jul 5, 2007
- Last Updated
- Jan 26, 2012
Practice Location
- Address
- 1341 OLD FIELD RD
- City
- Lugoff
- State
- South Carolina
- ZIP Code
- 29078-9012
- Phone
- (803) 427-3241
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Mental Health — Mental Health |
| Social Worker - Clinical — Clinical |
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Organizations
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|---|---|
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