Angela Jackson, LISW-CP
NPI #1922511419 in Irmo, South Carolina
Provider Information
- NPI Number
- 1922511419
- Entity Type
- Individual
- Name
- Angela Jackson, LISW-CP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LISW-CP
- Enumeration Date
- Nov 7, 2017
- Last Updated
- Apr 14, 2023
Practice Location
- Address
- 1180 COLUMBIA AVE STE 101
- City
- Irmo
- State
- South Carolina
- ZIP Code
- 29063-2890
- Phone
- (803) 575-0579
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Social Worker - Clinical — Clinical |
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