person
Jacob A Memminger
Mental Health Counselor in Moncks Corner, South Carolina
NPI 1215422100

Jacob A Memminger is a Mental Health Counselor based in Moncks Corner, SC and is specialized in Mental Health. Jacob A Memminger practices in Moncks Corner, SC. The NPI Number for Jacob A Memminger is 1215422100 and holds a License No. (South Carolina).

The current practice location address for Jacob A Memminger is 403 Stony Landing Rd, Moncks Corner, SC and can be reached out via phone at 843-761-8282 and via fax at 843-761-7308.

Location: 403 Stony Landing Rd, Moncks Corner, SC, 29461-3967
person
Provider Profile Details
NPI Number
1215422100
Provider Name
Jacob A Memminger
Credential
Provider Entity Type
Individual
Gender
Male
Address
403 Stony Landing Rd, Moncks Corner, SC, 29461-3967
Phone Number
843-761-8282
Fax Number
843-761-7308
Provider Enumeration Date
06/25/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
435201 05 SC
institution
Provider Business Practice Location Address Details
Address
403 Stony Landing Rd
City
State
Zip
29461-3967
Phone Number
843-761-8282
Fax Number
843-761-7308
person
Provider Business Mailing Address Details
Address
403 Stony Landing Rd
City
State
Zip
29461-3967
Phone Number
843-761-8282
Fax Number
843-761-7308
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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