Individual
JEREMY NUNNELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LMHC
Contact information
Practice address
815 S CHERRY ST, SENECA, SC 29678-4038
(706) 489-0899
Mailing address
815 S CHERRY ST, SENECA, SC 29678-4038
(706) 489-0899
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
20804
NC
101YP2500X
Professional Counselor
Primary
5317
SC
101YP2500X
Professional Counselor
LPC010624
GA
Other
Enumeration date
10/18/2011
Last updated
01/16/2025
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