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Provider Information for 1134787138


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Mrs. JACLYN TURNER SLOAD M.S., LPC


Sex: Female

NPI: 1134787138
Last Updated: 2023-11-21
Certification Date: 2023-11-21

Details

NameValue
NPI1134787138
Enumeration Date2019-06-04
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
United States

Phone: 864-522-8603 | Fax:
 
Primary Practice Address 1850 LAUREL ST STE 1A
COLUMBIA, SC 29201-2658
United States

Phone: 803-376-5982 | Fax:803-376-5987
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YP2500X - Counselor - ProfessionalSC7098
Yes 101YP2500X - Counselor - ProfessionalSC7776