Individual provider · Type 1 NPI

Jessica I. Oliver, LISW-CP

Mental Health Counselor · Moncks Corner, SC

NPI number 1801066584 Active

Practice location

403 Stoney Landing Road
Moncks Corner, SC 29461-3967

Fax (843) 761-7308

Mailing address

PO Box 1030
Moncks Corner, SC 29461-3967

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X004345 (GA)
Social Worker 104100000X072659-1 (NY)
Mental Health Counselor Primary 101YM0800X10184 (SC)

Mental Health Counselor: Definition to come...

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About NPI 1801066584

Jessica I. Oliver, LISW-CP's National Provider Identifier is 1801066584, issued on Mar 10, 2008. 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 Jan 21, 2015.