Individual provider · Type 1 NPI

Javonia De'antasia Gary

Counselor · Greenville, SC

NPI number 1679358360 Active

Practice location

205 Farrs Bridge Rd
Greenville, SC 29617-1905

Mailing address

16 Arrington Ave
Greenville, SC 29617-7842

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X9113 (SC)

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 1679358360

Javonia De'antasia Gary's National Provider Identifier is 1679358360, issued on Aug 30, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Greenville, SC. The record was last updated on Apr 2, 2026.