Individual provider · Type 1 NPI

Jacob A. Memminger

Mental Health Counselor · Moncks Corner, SC

NPI number 1215422100 Active

Practice location

403 Stony Landing Rd
Moncks Corner, SC 29461-3967

Call (843) 761-8282 Map

Fax (843) 761-7308

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1215422100

Jacob A. Memminger's National Provider Identifier is 1215422100, issued on Jun 25, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Moncks Corner, SC. The record was last updated on Jun 25, 2018.