Individual
MRS. JERILYN T. JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
1721 ASHLEY HALL RD, APT S4, CHARLESTON, SC 29407-3834
(843) 973-2528
Mailing address
1721 ASHLEY HALL ROAD, APT S4, CHARLESTON, SC 29407-3834
(843) 973-2528
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457692659
—
SC
Enumeration date
03/13/2013
Last updated
10/11/2016
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