Individual
MRS. HOLLY JETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
159 CIVITAS ST STE 205, MOUNT PLEASANT, SC 29464-2201
(843) 814-6959
Mailing address
8183 COPPERAS HILL DR, NORTH CHARLESTON, SC 29406-8935
(843) 814-6959
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8090
SC
Other
Enumeration date
07/27/2022
Last updated
03/23/2023
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