Individual
JESSICA KAY REXRODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC/A
Contact information
Practice address
6334 SAINT ANDREWS RD STE 103, COLUMBIA, SC 29212-3143
(803) 834-9238
Mailing address
6334 SAINT ANDREWS RD STE 103, COLUMBIA, SC 29212-3143
(803) 834-9238
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8517
SC
Other
Enumeration date
05/10/2023
Last updated
08/03/2023
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