Individual provider · Type 1 NPI
Crescent Shubrada Jeter
Mental Health Counselor · Piedmont, SC
NPI number
1013710490
Active
Practice location
102 Commons Blvd
Piedmont, SC 29673-7766
Mailing address
304 Tulip Tree Ln
Simpsonville, SC 29680-7352
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 17691 (SC) |
Mental Health Counselor: Definition to come...
4 other providers at this address
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About NPI 1013710490
Crescent Shubrada Jeter's National Provider Identifier is 1013710490, issued on Mar 31, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Piedmont, SC. The record was last updated on Mar 31, 2025.