Individual
JAY KELVIN FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3809 ROSEWOOD DR, COLUMBIA, SC 29205-3533
(803) 786-1844
(803) 786-1844
Mailing address
33 OAK LAKE CT, BLYTHEWOOD, SC 29016-7895
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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