Individual
VONNIE L JESSUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 CENTRAL AVE UNIT 11, GOOSE CREEK, SC 29445-3269
(843) 452-2955
(843) 640-3568
Mailing address
231 DARCY AVE, GOOSE CREEK, SC 29445-6693
(843) 452-2955
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4806
SC
Other
Enumeration date
05/30/2006
Last updated
02/08/2023
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