Individual
JILL ASHLEY BEDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
106 LANSFORD PL STE 202, MYRTLE BEACH, SC 29588-6979
(843) 213-2659
Mailing address
106 LANSFORD PL STE 202, MYRTLE BEACH, SC 29588-6979
(843) 384-1482
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6635
SC
101YM0800X
Mental Health Counselor
7850
SC
101YP2500X
Professional Counselor
Primary
7850
SC
Other
Enumeration date
10/02/2019
Last updated
09/03/2024
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