IndividualActive
Amy Jackson, MA
NPI 1780117804 · Counselor · Charleston, SC
Provider details
- NPI number
- 1780117804
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- MA
- Sex
- Female
- Sole proprietor
- No
- License
- 6391 (SC)
Practice location
3590 Mary Ader Ave Apt 1021
Charleston, SC 29414-5792
Phone: (910) 712-0026
Mailing address
3590 Mary Ader Ave Apt 1021
Charleston, SC 29414-5792
Registry dates
- Enumerated
- 2017-04-05
- Last updated
- 2017-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.