person
Jill Suzanne Kelley
Professional Counselor in Hartsville, South Carolina
NPI 1790814374

Jill Suzanne Kelley is a Professional Counselor based in Hartsville, SC and is specialized in Professional. Jill Suzanne Kelley practices in Hartsville, SC. The NPI Number for Jill Suzanne Kelley is 1790814374 and holds a License No. 6048 (South Carolina).

The current practice location address for Jill Suzanne Kelley is 5003 Una Rd, Hartsville, SC and can be reached out via phone at 843-307-4762 and via fax at 843-962-5147.

Location: 5003 Una Rd, Hartsville, SC, 29550-1954
person
Provider Profile Details
NPI Number
1790814374
Provider Name
Jill Suzanne Kelley
Credential
Provider Entity Type
Individual
Gender
Female
Address
5003 Una Rd, Hartsville, SC, 29550-1954
Phone Number
843-307-4762
Fax Number
843-962-5147
Provider Enumeration Date
03/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
376241 05 SC
institution
Provider Business Practice Location Address Details
Address
5003 Una Rd
City
State
Zip
29550-1954
Phone Number
843-307-4762
Fax Number
843-962-5147
person
Provider Business Mailing Address Details
Address
5003 Una Rd
City
State
Zip
29550-1954
Phone Number
843-307-4762
Fax Number
843-962-5147
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6048 (South Carolina)
Definition
Definition to come...
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