Provider Demographics
NPI:1851262265
Name:SADLON, JACQUELINE CHRISTINE (LPC)
Entity type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:CHRISTINE
Last Name:SADLON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:JACQUELINE
Other - Middle Name:CHRISTINE
Other - Last Name:PENROD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:627 OLD TROLLEY RD STE A
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485-5673
Mailing Address - Country:US
Mailing Address - Phone:800-552-4357
Mailing Address - Fax:678-388-9244
Practice Address - Street 1:627 OLD TROLLEY RD STE A
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29485-5673
Practice Address - Country:US
Practice Address - Phone:800-552-4357
Practice Address - Fax:678-388-9244
Is Sole Proprietor?:No
Enumeration Date:2025-09-17
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11392101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional