Individual
JILL CROSSGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LPCS, LAC
Contact information
Practice address
223 QUIET POND WAY, BLYTHEWOOD, SC 29016-7225
(803) 200-9076
Mailing address
223 QUIET POND WAY, BLYTHEWOOD, SC 29016-7225
(803) 200-9076
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
SC
Other
Enumeration date
11/05/2015
Last updated
03/27/2024
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