Individual
MRS. JENNIFFER WELLER-WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP, CACII
Contact information
Practice address
2437 MINERAL SPRINGS RD STE C, LEXINGTON, SC 29072-9145
(803) 553-3837
Mailing address
136 AUTUMN STROLL CT, LEXINGTON, SC 29072-9318
(803) 553-3837
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
9838
SC
1041C0700X
Clinical Social Worker
Primary
9838
SC
Other
Enumeration date
07/25/2011
Last updated
03/17/2018
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