Individual
JENNIFER K GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S., LMFT, LPC
Contact information
Practice address
301 PALMETTO PARK BLVD, LEXINGTON COUNTY MENTAL HEALTH CENTER, ADULT SRVCS, LEXINGTON, SC 29072-7872
(803) 359-3545
Mailing address
301 PALMETTO PARK BLVD, LEXINGTON COUNTY MENTAL HEALTH CENTER, ADULT SRVCS, LEXINGTON, SC 29072-7872
(803) 359-3545
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4296
SC
106H00000X
Marriage & Family Therapist
4259
SC
Other
Enumeration date
12/15/2006
Last updated
06/16/2010
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