Individual provider · Type 1 NPI

Jessica Yvonne Greene, LPC

Mental Health Counselor · Myrtle Beach, SC

NPI number 1235696774 Active

Practice location

630 Chestnut Rd
Myrtle Beach, SC 29572-5502

Fax (843) 945-1489

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6590 (SC)

Mental Health Counselor: Definition to come...

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About NPI 1235696774

Jessica Yvonne Greene, LPC's National Provider Identifier is 1235696774, issued on Feb 20, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Myrtle Beach, SC. The record was last updated on Feb 20, 2019.