Individual
JACOB PARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
1050 RIBAUT RD, BEAUFORT, SC 29902-5400
(843) 524-2610
Mailing address
1050 RIBAUT RD, BEAUFORT, SC 29902-5400
(843) 524-2601
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/30/2008
Last updated
04/12/2011
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