Individual
JEWELL DE GROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
1200 WOODRUFF RD, GREENVILLE, SC 29607-5730
(864) 729-3257
Mailing address
304 REVIS CREEK CT, SIMPSONVILLE, SC 29681-6352
(618) 779-4692
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7606
SC
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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