Individual
JESSICA BEANARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
96 WISTERIA RD, GOOSE CREEK, SC 29445-3495
(843) 797-7871
Mailing address
1908 OLD PELZER RD, PIEDMONT, SC 29673-9576
(803) 497-0543
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
SC
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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