| Jump Start Bridging Gaps Llc | |
|
512 Columbia St Chester SC 29706 | |
| (803) 385-7169 | |
| Not Available |
| Full Name | Jump Start Bridging Gaps Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 512 Columbia St, Chester, South Carolina |
| Authorized Official Name and Position | Donnie Worthy (CEO) |
| Authorized Official Contact | 8033857169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jump Start Bridging Gaps Llc 3255 Ricks Rd Chester SC 29706-6402 Ph: (803) 385-7169 | Jump Start Bridging Gaps Llc 512 Columbia St Chester SC 29706 Ph: (803) 385-7169 |
| NPI Number | 1831719889 |
|---|---|
| Provider Enumeration Date | 04/20/2020 |
| Last Update Date | 04/20/2020 |
| Certification Date | 04/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831719889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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