Provider Demographics
NPI:1629872692
Name:JACKIE DRUMMOND COUNSELING LLC
Entity type:Organization
Organization Name:JACKIE DRUMMOND COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:GLENN
Authorized Official - Last Name:DRUMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:864-266-8390
Mailing Address - Street 1:247 THORNCREST DR
Mailing Address - Street 2:
Mailing Address - City:PAULINE
Mailing Address - State:SC
Mailing Address - Zip Code:29374-1626
Mailing Address - Country:US
Mailing Address - Phone:864-266-8390
Mailing Address - Fax:
Practice Address - Street 1:1463 E MAIN ST STE C
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29307-2246
Practice Address - Country:US
Practice Address - Phone:864-362-1840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-01
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1487433116OtherINDIVIDUAL NPI