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Individual

JENNIFER CONNELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1878 NOLA RUN, SUMMERVILLE, SC 29485-9280
(561) 862-8243
Mailing address
717 OLD TROLLEY ROAD, SUITE 6, BOX 104, SUMMERVILLE, SC 29485
(561) 862-8243

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7488
SC
101YM0800X
Mental Health Counselor
MH 11166
FL

Other

Enumeration date
07/16/2014
Last updated
03/27/2025
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