| Jta Consultants Llc | |
|
3 W Ashford Ct Irmo SC 29063-8328 | |
| (803) 781-7506 | |
| (803) 781-7506 |
| Full Name | Jta Consultants Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3 W Ashford Ct, Irmo, South Carolina |
| Authorized Official Name and Position | Jennifer Taylor Allen (LISW-CP-SUPERVISOR) |
| Authorized Official Contact | 8037274224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jta Consultants Llc 3 West Ashford Ct Irmo SC 29063 Ph: () - | Jta Consultants Llc 3 W Ashford Ct Irmo SC 29063-8328 Ph: (803) 781-7506 |
| NPI Number | 1497913222 |
|---|---|
| Provider Enumeration Date | 05/29/2008 |
| Last Update Date | 05/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497913222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1640 (South Carolina) | Primary |
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