Individual
JASMINE A GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC-A
Contact information
Practice address
1019 HIGHWAY 17 S STE 111, NORTH MYRTLE BEACH, SC 29582-3702
(843) 283-8115
Mailing address
1770 JUNIPER DR, CONWAY, SC 29526-8616
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9084
SC
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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