Individual
MRS. JENNA BONNELL CANTERBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
926 CLEVELAND ST APT 4208, GREENVILLE, SC 29601-4651
(229) 560-6009
Mailing address
926 CLEVELAND ST APT 4208, GREENVILLE, SC 29601-4651
(229) 560-6009
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
14933
FL
1041C0700X
Clinical Social Worker
Primary
14933
FL
Other
Enumeration date
09/27/2019
Last updated
04/16/2023
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