MRS. Panora Zenik Wallace-Jackson, MA, LPC

NPI #1336329291 in Hartsville, South Carolina

Provider Information

NPI Number: 1336329291
Entity Type: Individual
Name: MRS. Panora Zenik Wallace-Jackson, MA, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: MA, LPC
Enumeration Date: Nov 8, 2007
Last Updated: Mar 12, 2014

Practice Location

Address: 576 W CAROLINA AVE
City: Hartsville
State: South Carolina
ZIP Code: 29550-5412
Phone: (843) 309-9340

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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