Individual
JACQUELYN MARIE VIGNERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2470 MALL DR UNIT C&D, NORTH CHARLESTON, SC 29406-6514
(843) 607-2340
Mailing address
1023 SHADOW ARBOR CIR, CHARLESTON, SC 29414-6647
(330) 442-5180
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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