Individual
JESSI HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1450 OLD SWAMP RD, SWANSEA, SC 29160-8278
(803) 250-5664
Mailing address
1180 COLUMBIA AVE STE 203, IRMO, SC 29063-2890
(803) 407-0088
(803) 407-4457
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C1400101
OH
101YM0800X
Mental Health Counselor
Primary
6807
SC
Other
Enumeration date
10/22/2014
Last updated
10/01/2024
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