Individual
MRS. JENNIE LEE GAMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LPC
Contact information
Practice address
25 SWEETBRIAR RD STE A6, GREENVILLE, SC 29615-1462
(864) 790-4963
(877) 744-5147
Mailing address
124 MALLARD ST, GREENVILLE, SC 29601-4046
(864) 241-1040
(864) 241-8187
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8587
SC
101YP2500X
Professional Counselor
Primary
11249
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC3311
—
SC
Enumeration date
08/02/2023
Last updated
07/15/2026
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