person
Jessica Green, LPC
Mental Health Counselor in Hartsville, South Carolina
NPI 1104221811

Jessica Green is a Mental Health Counselor based in Hartsville, SC and is specialized in Mental Health. Jessica Green practices in Hartsville, SC and has the professional credentials of LPC. The NPI Number for Jessica Green is 1104221811 and holds a License No. 6910 (South Carolina).

The current practice location address for Jessica Green is 1268 S 4Th St, Hartsville, SC and can be reached out via phone at 843-332-3422 and via fax at 843-332-3985.

Location: 1268 S 4Th St, Hartsville, SC, 29551-1090
person
Provider Profile Details
NPI Number
1104221811
Provider Name
Jessica Green
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1268 S 4Th St, Hartsville, SC, 29551-1090
Phone Number
843-332-3422
Fax Number
843-332-3985
Provider Enumeration Date
10/24/2014
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PC1862 05 SC
SCS668 01 SC MEDICARE
institution
Provider Business Practice Location Address Details
Address
1268 S 4Th St
City
State
Zip
29550-0703
Phone Number
843-332-3422
Fax Number
843-332-3985
person
Provider Business Mailing Address Details
Address
1268 S 4Th St
City
State
Zip
29550-0703
Phone Number
843-332-3422
Fax Number
843-332-3985
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6910 (South Carolina)
Definition
Definition to come...
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