Doctor Name: | JENNIFER F ELKINS |
NPI Number: | 1003875519 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 4156 |
Business Practice Address: | 1803 Cherokee Rd Florence, SC - 295014184 |
Business Phone Number: | 8436616030 |
Business Fax Number: | 8436792633 |
Mailing Address: | 1803 Cherokee Rd, FLORENCE |
State: | SC |
Postal Code: | 295014184 |
Phone Number: | 8436616030 |
Fax Number: | 8436792633 |
NPI Enumeration Date: | 03/22/2006 |
NPI Last Update Date: | 05/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 4156 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |