Search › South Carolina › 101YP2500X
Susan Jackson, LPC, CAC II
NPI 1912230129 · on the registry since 2009 · sole proprietor
Practice
- Address
- 410 University Pkwy
Suite 2300
Aiken, SC 29801 - Phone
- (803) 335-1219
- Fax
- (803) 335-1689
- Organisation at this address
- Serene Health
Bhg Lxxx, Llc
Bhg Xxxix, Llc
Serene Health Ipa
Pelvic Prime, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 75
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YP2500X
101YP2500X - Licence states on file
- GA, SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina