Individual
MRS. JANE DAVIS PREVOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1135 KINCANNON DR, MOUNT PLEASANT, SC 29464-3864
(828) 329-1631
Mailing address
1135 KINCANNON DR, MOUNT PLEASANT, SC 29464-3864
(828) 329-1631
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9184
SC
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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