Individual provider · Type 1 NPI

Jeremy Henderson-Teelucksingh, MA, MHR

Mental Health Counselor · North Charleston, SC

NPI number 1639735004 Active

Practice location

9217 University Blvd Ste C1A
North Charleston, SC 29406-9147

Call (843) 619-7989 Map

Mailing address

3579 Holmgren St
Mount Pleasant, SC 29466-8372

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1639735004

Jeremy Henderson-Teelucksingh, MA, MHR's National Provider Identifier is 1639735004, issued on May 11, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in North Charleston, SC. The record was last updated on May 11, 2019.