Individual
JEFFREY JOSEPH ROEDIGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
810 TRAVELERS BLVD, SUMMERVILLE, SC 29485-8258
(843) 860-7444
Mailing address
128 DREAM ST, SUMMERVILLE, SC 29483-5592
(843) 860-7444
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7616
SC
Other
Enumeration date
09/27/2020
Last updated
09/27/2020
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