Individual
MS. JEANETTE LOUISE VIRDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
200 E 5TH NORTH STREET, SUMMERVILLE, SC 29483
(843) 647-2346
Mailing address
1863 HOUGHTON DR, CHARLESTON, SC 29412-2939
(630) 361-4040
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13392
SC
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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