Adrienne Jackson's National Provider Identifier (NPI) Details
Adrienne Jackson, LISW-CP
NPI: 1992456784
Enumeration Date: 2022-01-12
Last updated: 2023-08-24
Sole Proprietor: NO
Status: active
Postal Address: 29 FLINT WAY, BLYTHEWOOD, SC
Phone: 803-920-3946
Primary Practice Address: 29 FLINT WAY, BLYTHEWOOD, SC
Practice's phone: 803-920-3946