Individual
JESSICA WINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCA, ADC-IP
Contact information
Practice address
8523 KENNESTONE LN, NORTH CHARLESTON, SC 29420-6841
(843) 607-6627
Mailing address
8523 KENNESTONE LN, NORTH CHARLESTON, SC 29420-6841
(843) 607-6627
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7183
SC
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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