Individual
MS. JERRY THOMPSON STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED., LPC
Contact information
Practice address
1050 RIBAUT RD, BEAUFORT, SC 29902-5400
(843) 524-3378
Mailing address
616 ASHDALE DR, BEAUFORT, SC 29907-2509
(843) 816-3421
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2644
SC
101YP2500X
Professional Counselor
LPC001967
GA
Other
Enumeration date
09/01/2006
Last updated
05/29/2009
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