Individual
JEWEL LEANNE CANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
100 ASHLAND PARK LN, SUITE E, COLUMBIA, SC 29210-5100
(803) 708-7990
Mailing address
155 PINE MAST CT, COLUMBIA, SC 29209-0919
(803) 979-7096
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6221
SC
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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