Organization
ERNEST E. KENNEDY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEROME TILGHMAN JR. LPC (DIRECTOR OF CLINICAL SERVICES)
(843) 719-3000
Entity
Organization
Contact information
Practice address
306 AIRPORT DR, MONCKS CORNER, SC 29461-2629
(843) 719-3000
(843) 719-3025
Mailing address
306 AIRPORT DR, MONCKS CORNER, SC 29461-2629
(843) 719-3000
(843) 719-3025
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3396
SC
Other
Enumeration date
03/20/2007
Last updated
08/22/2020
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