Individual
JEREMY HENDERSON-TEELUCKSINGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, MHR
Contact information
Practice address
9217 UNIVERSITY BLVD STE C1A, NORTH CHARLESTON, SC 29406-9147
(843) 619-7989
Mailing address
3579 HOLMGREN ST, MOUNT PLEASANT, SC 29466-8372
(415) 786-9129
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/11/2019
Last updated
05/11/2019
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