Individual
JESSICA MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
199 SOUTH HERLONG AVENUE, ROCK HILL, SC 29732
(803) 323-6873
Mailing address
199 SOUTH HERLONG AVE, ROCK HILL, SC 29732
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/29/2017
Last updated
09/29/2017
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