Individual
JACQUELYN A MCDONALD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7 GAMECOCK AVE, SUITE 710, CHARLESTON, SC 29407-3379
(843) 763-1455
(843) 763-1418
Mailing address
255 GROVE ST, CHARLESTON, SC 29403-3537
(843) 853-4338
(843) 763-1418
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2977
SC
Other
Enumeration date
05/08/2006
Last updated
07/08/2007
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