Individual
JENELLE LATRICE MCELVEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
150 BW THOMAS DR STE 102-103, FORT MILL, SC 29708-7230
(803) 203-0997
(803) 802-5588
Mailing address
150 BW THOMAS DR STE 102-103, FORT MILL, SC 29708-7230
(803) 203-0997
(803) 802-5588
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6979
SC
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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