MRS. PANORA WALLACE-JACKSON, MA, LPC

Counselor

Active Individual
NPI: 1336329291

Practice Address

576 W CAROLINA AVE
Hartsville, SC 29550

Phone: (843) 309-9340

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1336329291 is the National Provider Identifier for MRS. PANORA WALLACE-JACKSON, MA, LPC, a Counselor provider located in Hartsville, SC. This NPI was enumerated on November 8, 2007.
MRS. PANORA WALLACE-JACKSON, MA, LPC practices at 576 W CAROLINA AVE, Hartsville, SC 29550.

Quick Facts

NPI
1336329291
Type
Individual
Enumerated
Nov 8, 2007
Last Updated
Mar 12, 2014

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