MRS. PANORA ZENIK WALLACE-JACKSON MA LPC NPI 1336329291

NPI Information

MRS. Panora Zenik Wallace-jackson, MA, LPC is a counselor in Hartsville, SC. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MRS. Panora Zenik Wallace-jackson, MA, LPC NPI is 1336329291. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

576 W CAROLINA AVE
HARTSVILLE, SC
ZIP 29550-412
Phone: (843) 309-9340
Fax: (843) 309-9341

The enumeration date for this NPI number is 11/8/2007 and was last updated on 3/12/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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