Individual
JASMINE FUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
#1467 4464 DEVINE STREET, STE M, COLUMBIA, SC 29205
(704) 780-4271
Mailing address
301 ARCOLA DR, COLUMBIA, SC 29223-5472
(803) 717-0435
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/02/2018
Last updated
05/09/2024
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