Individual
MRS. JENNIFER JOANN MCGONIGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
220 RONNIE CT STE 2, MYRTLE BEACH, SC 29579-4192
(843) 333-1040
Mailing address
220 RONNIE CT STE 2, MYRTLE BEACH, SC 29579-4192
(843) 333-1040
(843) 432-3091
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5014
SC
Other
Enumeration date
03/26/2018
Last updated
04/05/2018
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