Individual
MRS. JENNIFER A LEVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
2233 DEERFIELD DR, FORT MILL, SC 29715-6941
(803) 835-5292
Mailing address
1180 FORT MILL PKWY, FORT MILL, SC 29715-2513
(803) 835-5292
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7394
SC
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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