Individual
MRS. JENNIFER ELLEN SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CACI
Contact information
Practice address
1547 PARKWAY, GREENWOOD, GREENWOOD, SC 29646-4081
(864) 229-7120
(864) 223-5526
Mailing address
1547 PARKWAY, GREENWOOD, GREENWOOD, SC 29646-4081
(864) 229-7120
(864) 223-5526
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10492
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421504
—
SC
Enumeration date
02/20/2013
Last updated
07/02/2014
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