Individual provider · Type 1 NPI

Jessica Green, LPC

Mental Health Counselor · Hartsville, SC

NPI number 1104221811 Active

Practice location

1268 S 4th St
Hartsville, SC 29550-0703

Call (843) 332-3422 Map

Fax (843) 332-3985

Mailing address

PO Box 1090
Hartsville, SC 29551-1090

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6910 (SC)

Mental Health Counselor: Definition to come...

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About NPI 1104221811

Jessica Green, LPC's National Provider Identifier is 1104221811, issued on Oct 24, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hartsville, SC. The record was last updated on May 9, 2024.