Individual
JENNIFER NILSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
200 SPRINGTREE DR STE 200, COLUMBIA, SC 29223-8614
(803) 722-4975
(803) 722-6018
Mailing address
200 SPRINGTREE DR STE 200, COLUMBIA, SC 29223-8614
(803) 722-4975
(803) 722-6018
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7839
SC
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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