Individual
JESSICA DEPAOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
2000 REYNOLDS AVE STE 201, CHARLESTON, SC 29405-5868
(513) 519-5771
Mailing address
715 TAHOE ST, CHARLESTON, SC 29407-6628
(513) 519-5771
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
15697
SC
Other
Enumeration date
02/19/2019
Last updated
11/15/2023
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