Individual
JESSICA FAIREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
2 MEDICAL PARK RD STE 103, COLUMBIA, SC 29203-6517
(803) 545-5700
(803) 434-4699
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16644
ABGC
—
Enumeration date
06/17/2015
Last updated
09/04/2025
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