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Individual

JEREMY SERAFIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5003 UNA RD, HARTSVILLE, SC 29550-1954
(843) 453-9985
Mailing address
5003 UNA RD, HARTSVILLE, SC 29550-1954
(843) 453-9985

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6251
SC
101YP2500X
Professional Counselor
13914
NC
101YP2500X
Professional Counselor
PC007609
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PC1698
SC
Enumeration date
10/07/2015
Last updated
06/24/2020
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