Individual
MRS. JACKQUELYN TAYLOR LOONEY AYSCUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1311 FLATWOOD RD, SPARTANBURG, SC 29303-5407
(864) 542-4197
Mailing address
1311 FLATWOOD RD, SPARTANBURG, SC 29303-5407
(864) 542-4197
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7017
SC
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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