Individual
JINA HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1218 EAST BLVD, CHESTERFIELD, SC 29709-5148
(843) 623-7062
Mailing address
1218 EAST BLVD, CHESTERFIELD, SC 29709-5148
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/10/2021
Last updated
12/14/2021
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