Individual
MRS. JENNIFER DEE POACHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1350 WALLERTON AVE, CHARLESTON, SC 29407-6440
(281) 748-4859
Mailing address
1350 WALLERTON AVE, CHARLESTON, SC 29407-6440
(281) 748-4859
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
67926
TX
Other
Enumeration date
05/04/2016
Last updated
09/15/2021
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