Individual
MRS. JEANNIE JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LAC
Contact information
Practice address
901 N KINGS HWY, MYRTLE BEACH, SC 29577-3722
(843) 448-4820
(843) 448-9875
Mailing address
PO BOX 2967, MYRTLE BEACH, SC 29578-2967
(843) 448-4820
(843) 448-9875
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3
SC
101YP2500X
Professional Counselor
Primary
2541
SC
Other
Enumeration date
04/28/2020
Last updated
04/29/2020
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