Individual provider · Type 1 NPI

Jason M. Deichelbor

Counselor · Charleston, SC

NPI number 1104148444 Active

Practice location

2100 Charlie Hall Blvd
Charleston, SC 29414-5832

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1104148444

Jason M. Deichelbor's National Provider Identifier is 1104148444, issued on Feb 26, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Charleston, SC. The record was last updated on Feb 26, 2010.