person
Jack H Booth, PSYD,LPC
Mental Health Counselor in Summerville, South Carolina
NPI 1548291842

Jack H Booth is a Mental Health Counselor based in Summerville, SC and is specialized in Mental Health. Jack H Booth practices in Summerville, SC and has the professional credentials of PSYD,LPC. The NPI Number for Jack H Booth is 1548291842 and holds a License No. 2674 (South Carolina).

The current practice location address for Jack H Booth is 709 Old Trolley Rd, Summerville, SC and can be reached out via phone at 843-821-2480 and via fax at 843-875-3149.

Location: 709 Old Trolley Rd, Summerville, SC, 29485-5203
person
Provider Profile Details
NPI Number
1548291842
Provider Name
Jack H Booth
Credential
PSYD,LPC
Provider Entity Type
Individual
Gender
Male
Address
709 Old Trolley Rd, Summerville, SC, 29485-5203
Phone Number
843-821-2480
Fax Number
843-875-3149
Provider Enumeration Date
07/05/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
709 Old Trolley Rd
City
State
Zip
29485-5203
Phone Number
843-821-2480
Fax Number
843-875-3149
person
Provider Business Mailing Address Details
Address
709 Old Trolley Rd
City
State
Zip
29485-5203
Phone Number
843-821-2480
Fax Number
843-875-3149
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2674 (South Carolina)
Definition
Definition to come...
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