Individual
JALEN WHITTLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
74 FOREST TRAIL CT, COLUMBIA, SC 29212-2446
(803) 357-5544
Mailing address
74 FOREST TRAIL CT, COLUMBIA, SC 29212-2446
(803) 357-5544
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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