Individual
JIMMY S. BENNETT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
105 DIANNE DR, CHERAW, SC 29520-2035
(843) 337-6668
Mailing address
105 DIANNE DR, CHERAW, SC 29520-2035
(843) 337-6668
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7189
SC
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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