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NPI Code Detail

MEDICARE: MICHAEL EVERETT JAMESON LPC-A

MEDICARE: MICHAEL EVERETT JAMESON LPC-A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor9680SC

General Provider Information

NPI Number : 1518028042
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL EVERETT JAMESON LPC-A
Provider Business Mailing Address
First Line : 340 E MAIN ST STE 102
Second Line :
City : SPARTANBURG
State : SC
Zip : 29302-1987
Country : US
Telephone Number : 864-707-2167
Fax Number : 864-707-2168
Provider Business Practice Location Address
First Line : 340 E MAIN ST STE 102
Second Line :
City : SPARTANBURG
State : SC
Zip : 29302-1987
Country : US
Telephone Number : 864-707-2167
Fax Number : 864-707-2168
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2006
Last Update Date : 04/15/2026

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Directions to “ MICHAEL EVERETT JAMESON LPC-A” Practice Location

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