| Doctor Name: | JENNIFER REED MINICHAN |
| NPI Number: | 1063843613 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., ED.S. |
| License Number: | 162252 |
| Business Practice Address: | 1000 Brookhaven Dr Aiken, SC - 298032109 |
| Business Phone Number: | 8036412624 |
| Business Fax Number: | |
| Mailing Address: | 1423 Herndon Dairy Rd, AIKEN |
| State: | SC |
| Postal Code: | 298038877 |
| Phone Number: | 8036412624 |
| Fax Number: | |
| NPI Enumeration Date: | 12/09/2013 |
| NPI Last Update Date: | 12/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YS0200X |
| License Number: | 162252 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |