Individual
DR. STEPHANIE R JAMISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
115 BLARNEY DR STE 102, COLUMBIA, SC 29223-6291
(803) 722-0490
(843) 962-5803
Mailing address
115 BLARNEY DR STE 102, COLUMBIA, SC 29223-6291
(803) 722-0490
(843) 962-5803
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
SC
103TB0200X
Cognitive & Behavioral Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GPB154
—
SC
05
—
GPB228
—
SC
05
—
GPB5769
—
SC
Enumeration date
07/16/2010
Last updated
06/20/2023
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