Organization
ALIVE & WELL COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN WATKINS LISW-CP (OWNER & CLINICIAN)
(864) 921-0744
Entity
Organization
Contact information
Practice address
753 JOHNNIE DODDS BLVD STE 100, MT PLEASANT, SC 29464-3054
(864) 921-0744
Mailing address
4841 CHERRY BLOSSOM DR, SUMMERVILLE, SC 29485-8732
(864) 921-0744
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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