Jessie M Scott
Individual provider Active NPI Counselor · Kingstree, SC
NPI 1275967127 · NPPES record last updated Aug 28, 2013
Key facts
- NPI
- 1275967127
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 616 Martin Luther King Ave
Kingstree, SC 29556-4104 - Phone
- (843) 355-6823
- NPI assigned
- Aug 28, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | SC | Yes |
Addresses
Primary practice location
616 Martin Luther King Ave
Kingstree, SC 29556-4104
Mailing address
616 Martin Luther King Ave
Kingstree, SC 29556-4104
Phone (843) 355-6823
Other providers in Kingstree, SC
- Sylvester Sarratt
- SC Department of Juvenile Justice
- Louis O Schwartz Jr.
- Cena M Scott
- Hope Scott
- Shelia Renee Scott
- Seed Harvest Time Residential Behavioral Services, LLC
- Woodrena Cherise Segres
- Sharing Hope Healthcare, Inc.
- Shauna M. Van Horn
All providers in Kingstree, SC · Counselor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.