Individual
JENNIFER BROOKE TAVERNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1547 PARKWAY, GREENWOOD, SC 29646-4081
(864) 229-7120
(864) 229-5526
Mailing address
1547 PARKWAY, GREENWOOD, SC 29646-4081
(864) 229-7120
(864) 229-5526
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6964
SC
106H00000X
Marriage & Family Therapist
Primary
6964
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421504
—
SC
Enumeration date
07/26/2016
Last updated
07/12/2021
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