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Individual

JENNIFER REED MINICHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., ED.S.

Contact information

Practice address
1000 BROOKHAVEN DR, AIKEN, SC 29803-2109
(803) 641-2624
Mailing address
1423 HERNDON DAIRY RD, AIKEN, SC 29803-8877
(803) 641-2624

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1553
SC
101YS0200X
School Counselor
162252
SC

Other

Enumeration date
12/09/2013
Last updated
12/09/2013
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