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Organization

JAZZ & COCO LLC

Active
Parent organization
JAZZ & COCO LLC
Other names
Jim Bennett Counselor
Organization subpart
Yes

Provider details

NPI number
Legal business name
JAZZ & COCO LLC
Authorized official
MR. JAMES BRADFORD BENNETT MA,LPC,NCC,MAC,LAC (OWNER CLINICIAN)
(304) 610-8661
Entity
Organization

Contact information

Practice address
289 HIGHWAY 90 E UNIT H, LITTLE RIVER, SC 29566-9298
(843) 685-0998
(843) 695-7681
Mailing address
289 HIGHWAY 90 E UNIT H, LITTLE RIVER, SC 29566-9298
(843) 685-0998
(843) 695-7681

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
08/27/2019
Last updated
08/27/2019
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