Individual
JESSICA YVONNE GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
630 CHESTNUT RD, MYRTLE BEACH, SC 29572-5502
(843) 945-1452
(843) 945-1489
Mailing address
630 CHESTNUT RD, MYRTLE BEACH, SC 29572-5502
(843) 945-1452
(843) 945-1489
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6590
SC
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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