Individual
JENNA RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
23 BUENA VISTA WAY STE B, GREENVILLE, SC 29615-5092
(864) 432-8343
Mailing address
23 BUENA VISTA WAY STE B, GREENVILLE, SC 29615-5092
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7961
SC
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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