Individual
JEWELL ALLYSON CARRINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CACII
Contact information
Practice address
1500 PARKLAWN DR, CHARLESTON, SC 29414-8130
(843) 607-5153
Mailing address
1500 PARKLAWN DR, CHARLESTON, SC 29414-8130
(843) 607-5153
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1403312
SC
101YM0800X
Mental Health Counselor
Primary
4262
SC
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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