Individual
JENNA MARGARET STREETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1135 GREGG HWY NW, AIKEN, SC 29801-6341
(803) 641-7700
Mailing address
1135 GREGG HWY NW, AIKEN, SC 29801-6341
(803) 641-7700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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