Individual
DR. JEAN S PRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.MIN., LPC, HTCP/I
Contact information
Practice address
664 W HEATHERSTONE LN, ROEBUCK, SC 29376-2787
(704) 651-2895
(864) 574-8142
Mailing address
664 W HEATHERSTONE LN, ROEBUCK, SC 29376-2787
(704) 651-2895
(864) 574-8142
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC 1762
SC
Other
Enumeration date
12/13/2005
Last updated
02/15/2017
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