Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Marie Addis

Individual provider Mental Health Counselor · NPI 1063118701

Jacqueline Marie Addis is a Mental Health Counselor in Greenville, South Carolina. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

124 Mallard St
Greenville, SC 29601-4046
Phone: (864) 241-1040
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1063118701
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 3, 2023
Last updated in NPPESFebruary 3, 2023
Certification dateFebruary 3, 2023

Other providers in Greenville