Individual
JEREMY MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 PALMETTO PARK BLVD STE D, LEXINGTON, SC 29072-7969
(803) 399-9204
Mailing address
108 PALMETTO PARK BLVD STE D, LEXINGTON, SC 29072-7969
(803) 399-9204
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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