Individual
JESSICA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
21 GAMECOCK AVE STE E, CHARLESTON, SC 29407-3368
(843) 212-6293
Mailing address
1608 CAMP RD STE 79, CHARLESTON, SC 29412-4012
(843) 212-6293
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8587
SC
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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