Individual
JENNY ROSENBERG BOUKNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
1905 SUNSET BLVD STE C, WEST COLUMBIA, SC 29169-5955
(803) 281-6950
Mailing address
1905 SUNSET BLVD STE C, WEST COLUMBIA, SC 29169-5955
(803) 281-6950
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
267
SC
Other
Enumeration date
10/16/2017
Last updated
10/22/2019
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