Individual
JEZZICA AVRYL NODALO AVANCENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1848 PINEVIEW DR, COLUMBIA, SC 29209-5085
(803) 898-0210
Mailing address
2715 COLONIAL DR, COLUMBIA, SC 29203-6818
(803) 898-8888
(803) 898-4044
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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