Individual
JENNA CAROLINE BOOTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
916 REYNOLDS RD, BARNWELL, SC 29812-6358
(803) 259-7170
Mailing address
149 VALLEY RD, BLACKVILLE, SC 29817-2435
(803) 709-1244
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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