Justine Rachelle Dunnavant, | |
4055 Faber Place Dr Ste 300, North Charleston, SC 29405-8524 | |
(843) 641-7915 | |
Not Available |
Full Name | Justine Rachelle Dunnavant |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 4055 Faber Place Dr Ste 300, North Charleston, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760116057 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 8328 (South Carolina) | Primary |
Entity Name | National Youth Advocate Program Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730586694 PECOS PAC ID: 7719258292 Enrollment ID: O20240124003102 |
Mailing Address | Practice Location Address |
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Justine Rachelle Dunnavant, 1801 Watermark Dr, Columbus, OH 43215-7088 Ph: (614) 438-3400 | Justine Rachelle Dunnavant, 4055 Faber Place Dr Ste 300, North Charleston, SC 29405-8524 Ph: (843) 641-7915 |
Mary A Everette, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3601c Meeting Street Rd, North Charleston, SC 29405 Phone: 843-740-6136 | |
Etta Smith, MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2470 Mall Dr Unit Cd, North Charleston, SC 29406 Phone: 843-207-4721 | |
Brooke Church, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2470 Mall Dr Unit Cd, North Charleston, SC 29406 Phone: 843-207-4721 | |
Brittany Greene, M.ED., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2128 Dorchester Rd, North Charleston, SC 29405 Phone: 843-501-8825 | |
Khadejiah Brooks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2470 Mall Dr Unit Bcd, North Charleston, SC 29406 Phone: 800-805-6989 | |
Alexa Kramer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2470 Mall Dr Unit Cd, North Charleston, SC 29406 Phone: 800-805-6989 | |
Monique Haynes, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7885 Thomasville Rd Apt 101, North Charleston, SC 29418 Phone: 843-330-2756 |