| Jessica The Counselor, Llc | |
|
591 Gas Plant Rd Moore SC 29369-9424 | |
| (602) 354-1562 | |
| Not Available |
| Full Name | Jessica The Counselor, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 591 Gas Plant Rd, Moore, South Carolina |
| Authorized Official Name and Position | Jessica Ilo Clark (OWNER) |
| Authorized Official Contact | 6023541562 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica The Counselor, Llc 591 Gas Plant Rd Moore SC 29369-9424 Ph: (602) 354-1562 | Jessica The Counselor, Llc 591 Gas Plant Rd Moore SC 29369-9424 Ph: (602) 354-1562 |
| NPI Number | 1457037152 |
|---|---|
| Provider Enumeration Date | 06/26/2023 |
| Last Update Date | 06/26/2023 |
| Certification Date | 06/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457037152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Behavioral Counseling Of Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 English Ivy Ct # 8801, Moore, SC 29369 Phone: 864-582-4080 Fax: 864-574-4066 |