Individual
MRS. JANNIE D SNOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCACII,CACII,LBSW
Contact information
Practice address
115 SHORT ST, KINGSTREE, SC 29556-3924
(843) 355-9113
(843) 355-9389
Mailing address
115 SHORT ST, KINGSTREE, SC 29556-3924
(843) 355-9113
(843) 355-9389
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11093021
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408
—
SC
Enumeration date
01/10/2013
Last updated
01/10/2013
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