Individual
JESSICA C VANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
508 HAMPTON ST STE 203, COLUMBIA, SC 29201-2765
(803) 353-1681
Mailing address
121 COUNCIL LOOP, COLUMBIA, SC 29209-5088
(843) 408-1435
(803) 265-8912
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
7629
SC
Other
Enumeration date
04/20/2018
Last updated
05/08/2024
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