Individual
MS. JENNIFER ANNE MOBLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2309 DEVINE ST STE B, COLUMBIA, SC 29205-2423
(602) 930-7383
Mailing address
705 MAPLE ST APT A104, COLUMBIA, SC 29205-1747
(602) 930-7383
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8038
SC
101YP2500X
Professional Counselor
LPC-19093
AZ
221700000X
Art Therapist
18-106
AZ
Other
Enumeration date
01/26/2021
Last updated
09/12/2022
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